This log is also available as text (219cc.txt) and as a (binary) annotation file (219cc.log).
Generated: Thursday, 23-Apr-2009 00:35:35 EDT
(All dates below are surrogates.)
id: Urine Out Foley t0: [21:00:00 25/07/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Type t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:15:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 25/07/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Significant Events t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:10:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 25/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [22:10:00 25/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
pi: 3677851 hi: 17012 t0: [00:00:00 26/07/2019] tf: [23:00:00 26/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3677852 hi: 17012 t0: [00:00:00 26/07/2019] tf: [23:00:00 26/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3677853 hi: 17012 t0: [00:00:00 26/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 25/07/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: IV Infusion In Total t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 530 cv: 6787.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 1090 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 6090 ac: 24 ap: carryForward re: 0
id: HOB t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Fingerstick Glucose t0: [22:30:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 874 n1: 874 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:46:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 26/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [20:00:00 25/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 530 cv: 7047.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 515 cv: 957.5 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 515 cv: 957.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/07/2019] el: 3 cg: RN cu: CSRU pv: 515 cv: 515 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Circulation/SkinInt t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pupil Response R/L t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 25/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [00:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Ectopy Frequency t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 26/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 1810 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 2230 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU cv: 220 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 80 cv: 1190 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: -260 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 697.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 80 cv: 2490 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 75 n1: 75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 18.1 n1: 18.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 628 n1: 628 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:42:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [04:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Management t0: [04:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Pale st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Seizure Activity t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Art.pH t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:23:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: WBC t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: Hematocrit t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 35.5 n1: 35.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.86 n1: 3.86 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd
id: BUN t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Albumin t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Calcium t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: ALT t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Amylase t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 rs: Final st: NotStopd id: BUN (6-20) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd id: INR t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 40.1 n1: 40.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 40.1 n1: 40.1 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 26/07/2019] el: 0 cg: CoWkr cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Stool Out Stool t0: [06:00:00 26/07/2019] el: 1 cg: CoWkr cu: CSRU vo: 800 vu: ml
id: Service Type t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: RSBI Not Completed t0: [06:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd
id: Platelets t0: [03:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Arterial BP t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: SpO2 t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [06:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [07:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Less Restrict Meas. t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Management t0: [08:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Condom Catheter st: NotStopd id: Ventilator Type t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 120 n1: 120 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20.7 n1: 20.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1114 n1: 1114 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [08:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 3678611 hi: 17012 t0: [09:00:00 26/07/2019] tf: [08:00:00 27/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3678612 hi: 17012 t0: [09:00:00 26/07/2019] tf: [08:00:00 27/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Arterial BP t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Significant Events t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: Service Type t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3678665 hi: 17012 t0: [10:00:00 26/07/2019] tf: [09:00:00 27/07/2019] mn: Cosyntropin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3678666 hi: 17012 t0: [10:00:00 26/07/2019] tf: [09:00:00 31/07/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 dt: 72 di: Hours xv: 36 xu: Hours pi: 3678691 hi: 17012 t0: [14:00:00 26/07/2019] tf: [14:00:00 17/08/2019] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Resp. Rate t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1124 n1: 1124 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:20:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
pi: 3679135 hi: 17012 t0: [15:00:00 26/07/2019] tf: [10:00:00 04/08/2019] mn: Metoclopramide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 15, 21, 3, 9 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Fibrinogen t0: [09:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 445 n1: 445 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [09:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 445 n1: 445 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 16.9 n1: 16.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 976 n1: 976 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [12:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 26 n2: 26 st: NotStopd id: IV #1 Insert Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Management t0: [12:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Condom Catheter st: NotStopd id: Ventilator Type t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [10:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [11:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Albumin 25% t0: [10:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units id: Urine Out Foley t0: [10:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [12:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 26/07/2019] el: 0 cg: Cowork cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:01:00 26/07/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: IV #1 Reason DC'D t0: [13:00:00 26/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [13:00:00 26/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [13:00:00 26/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [13:00:00 26/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [13:00:00 26/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Management t0: [13:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Riker-SAS Scale t0: [09:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: ETT Mark/Location t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Ventilator Type t0: [13:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: D5W 100.0ml t0: [12:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: PEEP Set t0: [14:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Location t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [14:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd
id: Service Type t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Bladder Pressure t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Risk for Falls t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [15:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: ETT Mark/Location t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 3.5 n1: 3.5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1143 n1: 1143 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: Lactic Acid t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: Ionized Calcium t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.23 n1: 1.23 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [16:05:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Temp. Site t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Circulation/SkinInt t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [11:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [15:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Position t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pupil Response R/L t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: WBC (4-11,000) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: WBC t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: Hematocrit t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 34.3 n1: 34.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 rs: Final st: NotStopd id: RBC t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.1 n1: 19.1 rs: Final st: NotStopd id: INR t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 41.2 n1: 41.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.1 n1: 19.1 rs: Final st: NotStopd id: PTT(22-35) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 41.2 n1: 41.2 rs: Final st: NotStopd
pi: 3680274 hi: 17012 t0: [10:00:00 26/07/2019] tf: [19:00:00 26/07/2019] mn: Phytonadione pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: BUN t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Calcium t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 163 n1: 163 rs: Final st: NotStopd id: Magnesium t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 163 n1: 163 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:47:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: D5W 100.0ml t0: [16:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [17:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [18:00:00 26/07/2019] el: 0 cg: CoWork cu: CSRU v1: 204 n1: 204 rs: Manual st: NotStopd
id: Riker-SAS Scale t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [18:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Pain Management t0: [18:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [18:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Stool Out Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0
id: Imp Skin Cleanse #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #2 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 1 cm st: NotStopd id: ImpSkin Wth/Lth #3 t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 2 cm st: NotStopd id: Braden Activity t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Art.pH t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Code Status t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Daily Wake Up t0: [19:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: ETT Mark/Location t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Ventilator Type t0: [17:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [18:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [19:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: CaO2 t0: [18:30:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 14.6453 n1: 14.6453 u1: ml/dl st: NotStopd
id: Previous Weight t0: [15:20:00 25/07/2019] el: 0 cg: RRT cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous Weight t0: [19:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Respiratory Rate Set t0: [19:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd
io: Nepro el: 1 cg: RN cu: CSRU ra: 20 ru: ml/hr
pi: 3680570 hi: 17012 t0: [10:00:00 26/07/2019] tf: [09:00:00 29/07/2019] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 26/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 26/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [20:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pupil Response R/L t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Nepro t0: [18:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [19:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml
pi: 3680786 hi: 17012 t0: [21:00:00 26/07/2019] tf: [01:00:00 13/08/2019] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 3680787 hi: 17012 t0: [21:00:00 26/07/2019] tf: [12:00:00 04/08/2019] mn: Hydromorphone pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.73 n1: 36.73 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1170 n1: 1170 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:56:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Very Agitated st: NotStopd id: Risk for Falls t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [20:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Lactic Acid t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:46:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd
id: Service Type t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Verbal Response t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:45:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: FiO2 Set t0: [21:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: PEEP Set t0: [20:15:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: PEEP Set t0: [21:00:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:15:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Ventilator Mode t0: [20:15:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
pi: 3681004 hi: 17012 t0: [23:00:00 26/07/2019] tf: [22:00:00 27/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3681030 hi: 17012 t0: [20:00:00 26/07/2019] tf: [14:00:00 17/08/2019] mn: Rifaximin pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: D5W 100.0ml t0: [22:00:00 26/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Albumin 25% t0: [22:30:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 50 cv: 100 ac: 24 ap: none re: 0
id: Art.pH t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: CaO2 t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 14.9207 n1: 14.9207 u1: ml/dl st: NotStopd id: Lactic Acid t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:40:00 26/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Aggitation t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ...... st: NotStopd id: Anxiety t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Ataxia t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: sum st: NotStopd id: Drowsiness t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Headache t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Paroxysmal Sweats t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Seizure t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Sustained Nystamus t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Visual Disturbances t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [23:25:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: Previous WeightF t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 92.5 n1: 92.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:20:00 26/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 11.5 n1: 11.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 st: NotStopd id: Sensitivity-Vent t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:36:00 26/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 3681176 hi: 17012 t0: [01:00:00 27/07/2019] tf: [00:00:00 27/07/2019] mn: Diazepam pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 3681195 hi: 17012 t0: [01:00:00 27/07/2019] tf: [13:00:00 27/07/2019] mn: Midazolam HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 3681254 hi: 17012 t0: [01:00:00 27/07/2019] tf: [00:00:00 28/07/2019] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3681270 hi: 17012 t0: [01:00:00 27/07/2019] tf: [14:00:00 17/08/2019] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Agitated st: NotStopd id: Aggitation t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ...... st: NotStopd id: Anxiety t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Ataxia t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: sum st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ? date > 2 days st: NotStopd id: Paroxysmal Sweats t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Seizure t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Visual Disturbances t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Motor Response t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Temp. Site t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 27/07/2019] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [23:00:00 26/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 26/07/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Tube Feeds In Total t0: [23:00:00 26/07/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 100 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 217 n1: 217 rs: Manual st: NotStopd
id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 1 cg: RN cu: CSRU ra: 3 ru: ml/hr
pi: 3681347 hi: 17012 t0: [02:00:00 27/07/2019] tf: [01:00:00 28/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Midazolam t0: [01:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: IV #4 Insert Date t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #4 t0: [00:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: Service Type t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Significant Events t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Verbal Response t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:30:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [02:30:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [01:30:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 19 cv: 2094 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 1004 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 2004 ac: 24 ap: none re: 0
id: TF Residual t0: [02:00:00 27/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [02:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: GT Flush t0: [02:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml
id: 24h Total In t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 64 cv: 4082 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU cv: 690 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 735 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 4 cv: 2078 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 4 cv: 2775.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU pv: 4 cv: 4 ac: 1 ap: none re: 0
id: Pain Present t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: LLE Temp/Color t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Seizure Activity t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: SpO2 t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [03:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: ETT Mark/Location t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Education Topic #1 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Family Communication t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: FiO2 Set t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: High Insp. Pressure t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11.3 n1: 11.3 u1: L/min st: NotStopd id: Oral Care t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Position t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pressure Support t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Reason For Restraint t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Restraint Location t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Sensitivity-Vent t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Spont) t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 1110 n1: 1110 u1: ml/B st: NotStopd id: Turn t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Ventilator Mode t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:54:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Braden Activity t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Temp. Site t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 27/07/2019] el: 0 cg: RN cu: CSRU u1: Deg. F st: NotStopd id: Temperature F t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [05:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [04:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [05:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [04:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:18:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: WBC t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Hematocrit t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 31.8 n1: 31.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 71 n1: 71 rs: Final st: NotStopd id: RBC t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.43 n1: 3.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Stool Out Stool t0: [06:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [06:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [05:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 253 n1: 253 rs: Manual st: NotStopd
id: PT t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: INR t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 47.1 n1: 47.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 47.1 n1: 47.1 rs: Final st: NotStopd
pi: 3681591 hi: 17012 t0: [07:00:00 27/07/2019] tf: [06:00:00 28/07/2019] 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: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Calcium t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 232 n1: 232 rs: Final st: NotStopd id: Magnesium t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Total Bili t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: ALT t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: BUN (6-20) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 232 n1: 232 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: RSBI Not Completed t0: [06:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd
id: Vancomycin/Random t0: [05:00:00 27/07/2019] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 1104 n1: 1104 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 27/07/2019] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Temp. Site t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [08:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [09:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [07:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [07:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [08:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Po Intake t0: [08:00:00 27/07/2019] el: 1 ai: 103 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 100.0ml t0: [08:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Service Type t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [11:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [09:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: ETT Mark/Location t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 974 n1: 974 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 27/07/2019] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Method t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Extubation Date t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Extubation Date t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Eye Care t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Location t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Point Rest. st: NotStopd id: Restraint Type t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [09:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [10:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [11:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Po Intake t0: [12:00:00 27/07/2019] el: 1 ai: 103 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [12:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3682218 hi: 17012 t0: [20:00:00 27/07/2019] tf: [13:00:00 05/08/2019] mn: Bicitra pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3682219 hi: 17012 t0: [13:00:00 27/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3682220 hi: 17012 t0: [22:00:00 27/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3682221 hi: 17012 t0: [08:00:00 27/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 269 n1: 269 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [13:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 34 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [13:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3682411 hi: 17012 t0: [14:00:00 27/07/2019] tf: [20:00:00 30/07/2019] mn: Midazolam HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [14:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [14:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [14:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [15:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 950 n1: 950 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms+L Leg st: NotStopd id: Restraint Type t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Temp. Site t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [16:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [16:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [17:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: calprevflg t0: [18:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Fresh Frozen Plasma t0: [18:00:00 27/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 288 vu: ml uu: Units id: Nepro t0: [18:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Stool t0: [18:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [18:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Midazolam t0: [18:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU cv: 1000 ac: 24 ap: none re: 0
id: Service Type t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd id: Respiratory Rate t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [18:30:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:45:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:15:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:15:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Midazolam t0: [19:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [19:15:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [19:30:00 27/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 275 vu: ml uu: Units
id: Midazolam t0: [19:30:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 27/07/2019] el: 3 cg: RN cu: CSRU cv: 563 ac: 24 ap: none re: 0
id: Service Type t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [19:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Temperature F t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97.78 n1: 97.78 u1: Deg. F st: NotStopd id: calprevflg t0: [19:45:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [19:45:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [20:00:00 27/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Po Intake t0: [20:00:00 27/07/2019] el: 1 ai: 103 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 3683126 hi: 17012 t0: [21:00:00 27/07/2019] tf: [20:00:00 28/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 20 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Cuff Pressure-Airway t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: High Insp. Pressure t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.5 n1: 35.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 666 n1: 666 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 27/07/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Deferred st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 0.5 cm v2: 1 cm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [20:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 27/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [20:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: GT Flush t0: [20:00:00 27/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Midazolam t0: [20:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [21:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: calprevflg t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [22:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Midazolam t0: [22:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Oral Care t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: D5W 100.0ml t0: [22:00:00 27/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [22:30:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [22:30:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3683419 hi: 17012 t0: [08:00:00 28/07/2019] tf: [09:00:00 05/08/2019] mn: Levofloxacin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 2 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 27/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 27/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 27/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [23:00:00 27/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: High Insp. Pressure t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 689 n1: 689 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 28/07/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [00:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [00:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [00:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 800 vu: ml id: Urine Out Foley t0: [00:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [00:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 50 cv: 1950 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [01:00:00 28/07/2019] el: 1 cg: RN cu: CSRU v1: done
id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [01:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Topic #1 t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [02:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [02:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: GT Flush t0: [02:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [02:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 28/07/2019] el: 3 cg: RN cu: CSRU cv: 440 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [03:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 13 cv: 4197.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 58 cv: 5717.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 70 cv: 70 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 20 cv: 746 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: -12 cv: 3021.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: -12 cv: 5797 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: -12 cv: -12 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/07/2019] el: 3 cg: 3161 cu: CSRU pv: 70 cv: 2696 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [19:59:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [23:30:00 27/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.2 n1: 36.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 769 n1: 769 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:40:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 168 n1: 168 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:19:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: WBC t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: Hematocrit t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 35.1 n1: 35.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: RBC t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.77 n1: 3.77 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 28/07/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #2 Insert Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [01:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Pupil Response R/L t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll x4assist st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 28/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [04:00:00 28/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [04:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3683622 hi: 17012 t0: [06:00:00 28/07/2019] tf: [07:00:00 28/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Continuous at 1000 ml/hr for 500 ml ir: 1000 it: C ss: N dt: 0.5 di: Hours xu: Enter on Label pi: 3683667 hi: 17012 t0: [06:00:00 28/07/2019] tf: [05:00:00 29/07/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: BUN t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Code Status t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Chloride t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 287 n1: 287 rs: Final st: NotStopd id: Potassium t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Total Bili t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Significant Events t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: ALT t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: BUN (6-20) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 287 n1: 287 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: D5W 100.0ml t0: [05:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [05:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fibrinogen t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 455 n1: 455 rs: Final st: NotStopd id: PTT t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 40.2 n1: 40.2 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 455 n1: 455 rs: Final st: NotStopd id: PTT(22-35) t0: [04:08:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 40.2 n1: 40.2 rs: Final st: NotStopd
id: Service Type t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:15:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [05:15:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
pi: 3683675 hi: 17012 t0: [07:00:00 28/07/2019] tf: [08:00:00 28/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Continuous at 1000 ml/hr for 500 ml ir: 1000 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Service Type t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:30:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [06:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 550 vu: ml id: Urine Out Foley t0: [06:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [06:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:30:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Midazolam t0: [06:30:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Topic #1 t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [06:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [07:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [07:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [07:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [08:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [08:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3683771 hi: 17012 t0: [09:00:00 28/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3683772 hi: 17012 t0: [22:00:00 28/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3683773 hi: 17012 t0: [08:00:00 28/07/2019] tf: [23:00:00 28/07/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 667 n1: 667 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [09:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [09:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Arterial BP t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Significant Events t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:45:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 3.75 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:45:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Nepro t0: [09:45:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 33.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:45:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [09:45:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3684001 hi: 17012 t0: [10:00:00 28/07/2019] tf: [14:00:00 17/08/2019] mn: Thiamine HCl pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3684008 hi: 17012 t0: [11:00:00 28/07/2019] tf: [10:00:00 29/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3684026 hi: 17012 t0: [11:00:00 28/07/2019] tf: [10:00:00 29/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Risk for Falls t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [09:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Urine Source t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Nepro t0: [10:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 11.25 vu: ml id: Urine Out Foley t0: [10:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Midazolam t0: [10:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:30:00 28/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 304 n1: 304 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Significant Events t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Nepro t0: [11:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [11:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3684316 hi: 17012 t0: [12:00:00 28/07/2019] tf: [11:00:00 29/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3684317 hi: 17012 t0: [12:00:00 28/07/2019] tf: [13:00:00 28/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1/2 NS with 1.5 amps bicarb Continuous at 1000 ml/hr for 1000 ml ir: 1000 it: C dt: 1 di: Hours xu: Enter on Label
id: ETT Mark/Location t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 956 n1: 956 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: LU Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Withdraws st: NotStopd id: Restraint Location t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [12:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: D5W 100.0ml t0: [12:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Midazolam t0: [12:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Sodium Bicarbonate io: .45% Normal Saline 500.0ml el: 100 cg: RN cu: CSRU am: 75 du: mEq rt: Intravenous Push
io: .45% Normal Saline 500.0ml el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Risk for Falls t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Seizure Activity t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: SpO2 t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Temp. Site t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Urine Source t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [14:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [14:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [14:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:30:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 500.0ml t0: [14:30:00 28/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Midazolam t0: [14:30:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/07/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: Art.pH t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:56:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd
id: BUN t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Chloride t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 280 n1: 280 rs: Final st: NotStopd id: Potassium t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 280 n1: 280 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:46:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: IV Site Appear #4 t0: [16:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [16:00:00 28/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 259 n1: 259 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #2 Insert Date t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: Activity t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 28/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [16:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro t0: [16:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .45% Normal Saline 500.0ml t0: [16:00:00 28/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [16:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 18.7 n1: 18.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 731 n1: 731 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #4 Insert Date t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: IV #4 Site/Size t0: [16:00:00 28/07/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Arterial BP t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Significant Events t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [16:45:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:45:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Nepro t0: [16:45:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 33.75 vu: ml id: .45% Normal Saline 500.0ml t0: [16:45:00 28/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:45:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.25 vu: ml
id: Midazolam t0: [16:45:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Risk for Falls t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #2 Insert Date t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Seizure Activity t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Source t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Nepro t0: [18:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 56.25 vu: ml id: .45% Normal Saline 500.0ml t0: [18:00:00 28/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 500 vu: ml id: Stool Out Stool t0: [18:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.75 vu: ml
id: Midazolam t0: [18:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: FiO2 Set t0: [18:00:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Cuff Pressure-Airway t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.2 n1: 35.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: L/min st: NotStopd id: PEEP Set t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 st: NotStopd id: Ve High t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 638 n1: 638 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:49:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: IV #2 Reason DC'D t0: [20:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [20:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [20:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [20:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [20:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wth/Lth #2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 8 cm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 28/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 28/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro t0: [20:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [20:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Lactic Acid t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:13:00 28/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd
id: IV #3 Reason DC'D t0: [23:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Insert Date t0: [23:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Site/Size t0: [23:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #3 t0: [23:00:00 28/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: .45% Normal Saline 500.0ml t0: [23:00:00 28/07/2019] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 3685399 hi: 17012 t0: [00:00:00 29/07/2019] tf: [12:00:00 10/08/2019] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: IV #3 Reason DC'D t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Treatment DC'D st: NotStopd id: Risk for Falls t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [22:00:00 28/07/2019] el: 1 cg: RN cu: CSRU v1: DONE id: Fingerstick Glucose t0: [22:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 248 n1: 248 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .45% Normal Saline 500.0ml t0: [20:00:00 28/07/2019] el: 1 ai: 168 cg: RN cu: CSRU vu: ml id: Stool Out Stool t0: [22:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [22:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [21:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 16.9 n1: 16.9 u1: L/min st: NotStopd id: PEEP Set t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: 654 n1: 654 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:36:00 28/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Temperature C t0: [00:00:00 29/07/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wth/Lth #2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 8 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 29/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [00:00:00 29/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [00:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [23:00:00 28/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [23:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 28/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [00:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 28/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU cv: 1100 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 990 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 5 cv: 311 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 5 cv: 1011 ac: 24 ap: none re: 0
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CSRU am: 100 du: Uhr rt: IV Drip
id: Service Type t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 328 n1: 328 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:30:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Midazolam t0: [01:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:30:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 18.5 cv: 1000.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 63.5 cv: 3090.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 58.5 cv: 2079.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 58.5 cv: 7876.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU pv: 58.5 cv: 58.5 ac: 1 ap: none re: 0
pi: 3685641 hi: 17012 t0: [04:00:00 29/07/2019] tf: [03:00:00 30/07/2019] mn: Acetaminophen (Liquid) pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3685642 hi: 17012 t0: [04:00:00 29/07/2019] tf: [03:00:00 30/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: ETT Mark/Location t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 880 n1: 880 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:45:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Pupil Response R/L t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Skin Care t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [03:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 289 n1: 289 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 213 n1: 213 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [03:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [02:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [04:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [02:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Ionized Calcium t0: [05:23:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.37 n1: 1.37 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 207 n1: 207 rs: Manual st: NotStopd
id: Midazolam t0: [05:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [05:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 29/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [06:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [06:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [06:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [06:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: Insulin t0: [06:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: WBC t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Hematocrit t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 40.4 n1: 40.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 rs: Final st: NotStopd id: RBC t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.24 n1: 4.24 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd
id: RSBI Not Completed t0: [06:00:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd
id: PT t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: INR t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd
id: BUN t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd id: Calcium t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 225 n1: 225 rs: Final st: NotStopd id: Magnesium t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Total Bili t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: ALT t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: BUN (6-20) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 225 n1: 225 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Phosphorous t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:11:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 u1: mEq/L rs: Final st: NotStopd
id: Fingerstick Glucose t0: [07:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Pain Present t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [07:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 604 n1: 604 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 89 n1: 89 rs: Manual st: NotStopd
id: Service Type t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [08:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Turn t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 29/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [08:00:00 29/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: GT Flush t0: [08:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Cerv Collar Status t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Eye Care t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Activity Tolerance t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Skin Care t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [08:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [09:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [08:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [09:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [09:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 2 vu: ml
pi: 3686200 hi: 17012 t0: [11:00:00 29/07/2019] tf: [10:00:00 30/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [10:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 212 n1: 212 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [10:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Midazolam t0: [10:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3686316 hi: 17012 t0: [12:00:00 29/07/2019] tf: [09:00:00 31/07/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 3686318 hi: 17012 t0: [12:00:00 29/07/2019] tf: [11:00:00 30/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3686319 hi: 17012 t0: [12:00:00 29/07/2019] tf: [11:00:00 30/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3686320 hi: 17012 t0: [12:00:00 29/07/2019] tf: [11:00:00 30/07/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 243 n1: 243 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [11:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [11:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: ETT Mark/Location t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35.7 n1: 35.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 689 n1: 689 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Plug st: NotStopd id: Sputum Source/Amt t0: [12:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: No Response st: NotStopd id: Restraint Location t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [12:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 217 n1: 217 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Cerv Collar Status t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Bladder Pressure t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Eye Care t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Skin Care t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 231 n1: 231 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [13:00:00 29/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [12:00:00 29/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [13:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [14:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [14:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3686646 hi: 17012 t0: [20:00:00 29/07/2019] tf: [15:00:00 01/08/2019] mn: Midodrine HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3686647 hi: 17012 t0: [15:00:00 29/07/2019] tf: [15:00:00 01/08/2019] mn: Octreotide Acetate pt: IV Piggyback st: Inactive (Due to a change order) rt: SC fr: Q8H ds: 15, 23, 7 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [14:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 209 n1: 209 rs: Manual st: NotStopd
id: Gastric Meds t0: [14:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: GT Flush t0: [14:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [14:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:53:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [15:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 202 n1: 202 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [15:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [15:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [15:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: 733 n1: 733 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 29/07/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 185 n1: 185 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Collar Care t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Vent. Bigeminy st: NotStopd id: Alarms t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: No Response st: NotStopd id: Restraint Location t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 29/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [16:00:00 29/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: Nepro t0: [16:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: GT Flush t0: [16:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [16:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Position Change t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: BUN t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 rs: Final st: NotStopd id: Calcium t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 211 n1: 211 rs: Final st: NotStopd id: Magnesium t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: BUN (6-20) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 211 n1: 211 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:59:00 29/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [17:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 13 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [17:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 29/07/2019] el: 0 cg: CoOPst cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
pi: 3687178 hi: 17012 t0: [19:00:00 29/07/2019] tf: [18:00:00 30/07/2019] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: Stool Out Stool t0: [18:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [18:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 29/07/2019] el: 3 cg: RN cu: CSRU cv: 700 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8.5 vu: ml id: Urine Out Foley t0: [19:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 22 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [19:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: 788 n1: 788 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:43:00 29/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 29/07/2019] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [20:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vu: ml st: Stopped
id: Insulin t0: [20:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Cerv Collar Status t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: HOB t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Gastric Meds t0: [20:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [21:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [21:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:30:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:30:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml st: Restart id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [22:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:30:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Insulin t0: [22:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3687657 hi: 17012 t0: [00:00:00 30/07/2019] tf: [23:00:00 30/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml D5W Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Fingerstick Glucose t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 29/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 29/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.5 vu: ml id: Urine Out Foley t0: [23:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 29/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [23:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 29/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W t0: [23:15:00 29/07/2019] el: 1 ai: 109 cg: RN cu: CSRU vo: 500 vu: ml
id: Less Restrict Meas. t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cerv Collar Status t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami Acute st: NotStopd id: Cervical Collar Type t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: No Response st: NotStopd id: Restraint Location t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [22:00:00 29/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Back Care t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: Urine Out Foley t0: [00:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [00:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Airway Size t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 870 n1: 870 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 198 n1: 198 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [01:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [01:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [02:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [02:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [03:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 1247.5 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 353 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 1553 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [03:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 212 n1: 212 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml
id: Insulin t0: [03:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 1398.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 3406 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 1853 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 9729.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cerv Collar Status t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: Art.pH t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Lactic Acid t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Ionized Calcium t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.33 n1: 1.33 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:53:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 30/07/2019] el: 0 cg: CoWkr cu: CSRU v1: 179 n1: 179 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: WBC t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: Hematocrit t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 36.2 n1: 36.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 11.8 n1: 11.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 69 n1: 69 rs: Final st: NotStopd id: RBC t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:04:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: High Resp. Rate t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 882 n1: 882 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:03:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: PT t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: INR t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PTT t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 37.1 n1: 37.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 37.1 n1: 37.1 rs: Final st: NotStopd
id: BUN t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Calcium t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 178 n1: 178 rs: Final st: NotStopd id: Magnesium t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Total Bili t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: ALT t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: BUN (6-20) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 178 n1: 178 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: No Response st: NotStopd id: Restraint Location t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Back Care t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 30/07/2019] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [05:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [06:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [04:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [04:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [05:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [05:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [06:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vu: ml st: Stopped
id: Insulin t0: [06:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Vancomycin/Random t0: [03:27:00 30/07/2019] el: 0 cg: 3161 cu: CSRU v1: 11.4 n1: 11.4 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [07:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: Urine Out Foley t0: [07:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [07:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [07:30:00 30/07/2019] el: 0 cg: Cowork cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd
id: FiO2 Set t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Resp. Rate t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: Apnea Time Interval t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2100 n1: 2100 st: NotStopd id: Tank B psi. t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 745 n1: 745 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Midazolam t0: [08:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [08:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Temp. Site t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: Service Type t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Arterial BP t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Midazolam t0: [09:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Eye Opening t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Stool Color/Consist t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 221 n1: 221 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [08:00:00 30/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [10:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: GT Flush t0: [08:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Midazolam t0: [10:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Eye Care t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 Cap Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: INV#1Chg o/Wire Date t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Site Date t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 WaveformAppear t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 Cap Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 30/07/2019] el: 0 cg: Cowork cu: CSRU v1: 234 n1: 234 rs: Manual st: NotStopd
pi: 3688820 hi: 17012 t0: [20:00:00 30/07/2019] tf: [19:00:00 31/07/2019] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 1 di: Days xv: 36 xu: Hours
id: Service Type t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [11:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Midazolam t0: [11:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: FiO2 Set t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 735 n1: 735 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU st: NotStopd
id: Service Type t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [12:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Midazolam t0: [12:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Insulin t0: [11:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Source/Amt t0: [10:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: RSBI (<100) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 30.7692 n1: 30.7692 u1: units st: NotStopd id: RSBI (<200) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 30.7692 n1: 30.7692 u1: units st: NotStopd id: Spon RR (Mech.) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [12:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.715 n1: 0.715 u1: L st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:30:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [12:30:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:30:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: GT Flush t0: [12:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:30:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0.5 vu: ml
id: Fingerstick Glucose t0: [13:00:00 30/07/2019] el: 0 cg: Cowork cu: CSRU v1: 296 n1: 296 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [13:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 30/07/2019] el: 0 cg: Cowork cu: CSRU v1: 264 n1: 264 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Oral Care t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [14:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Nepro t0: [14:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9.5 vu: ml id: Urine Out Foley t0: [14:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 22 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Fingerstick Glucose t0: [15:00:00 30/07/2019] el: 0 cg: Cowork cu: CSRU v1: 230 n1: 230 rs: Manual st: NotStopd
id: Insulin t0: [14:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Significant Events t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 30/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8.5 vu: ml id: Urine Out Foley t0: [15:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [15:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cerv Collar Status t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: HOB t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Back Care t0: [15:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
pi: 3689517 hi: 17012 t0: [16:00:00 30/07/2019] tf: [15:00:00 31/07/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: TF Residual t0: [15:00:00 30/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml
id: FiO2 Set t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 743 n1: 743 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:00:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:30:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Insulin t0: [16:30:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Cough Reflex t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Location t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [17:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [17:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [17:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 19 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [17:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GT Flush t0: [17:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: Fingerstick Glucose t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.5 vu: ml id: Urine Out Foley t0: [18:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [18:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3690311 hi: 17012 t0: [20:00:00 30/07/2019] tf: [14:00:00 17/08/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Discontinued rt: IV fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd
id: Service Type t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 rs: Manual st: NotStopd
id: Insulin t0: [19:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3690645 hi: 17012 t0: [21:00:00 30/07/2019] tf: [12:00:00 10/08/2019] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Heart Rate t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Arterial BP t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [20:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [20:00:00 30/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml
id: TF Residual t0: [20:00:00 30/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml
id: Midazolam t0: [20:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 760 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 215 n1: 215 rs: Manual st: NotStopd
id: Midazolam t0: [21:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 682 n1: 682 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [21:17:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 290 n1: 290 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 30/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 30/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 30/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Midazolam t0: [22:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Cerv Collar Status t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cerv Collar Status t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Cervical Collar Type t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Collar Care t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough Reflex t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: Gag Reflex t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Activity Tolerance t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: ImpSkin Character #1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unresponsive st: NotStopd id: Motor Response t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [19:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [21:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: In-Line Sx Change t0: [20:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: In-Line Sx Change t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 30/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Stool Out Stool t0: [22:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [20:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 30/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Stool Out Total t0: [23:00:00 30/07/2019] el: 3 cg: RN cu: CSRU cv: 1200 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.2 n1: 36.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: 684 n1: 684 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:41:00 30/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: CVP t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 215 n1: 215 rs: Manual st: NotStopd
id: Midazolam t0: [00:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: GU Catheter Size t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 14 French st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: LLE Temp/Color t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Pupil Response R/L t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Responds to Stimuli t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Urine Color/Appear t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Braden Activity t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [00:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [00:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Service Type t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 204 n1: 204 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [01:00:00 31/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [01:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: Nepro t0: [01:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [01:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0
id: Service Type t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:10:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [01:10:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:10:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Back Care t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [02:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: done id: Fingerstick Glucose t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Midazolam t0: [02:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 31/07/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [03:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 16.5 cv: 507.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 106.5 cv: 3702.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 1895 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 282 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 91.5 cv: -1979.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 91.5 cv: 7750 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 91.5 cv: 91.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/07/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 5682 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd
id: ETT Mark/Location t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 36.2 n1: 36.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 766 n1: 766 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:51:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Cough Reflex t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: GI Prophylaxis t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: LLE Temp/Color t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unresponsive st: NotStopd id: Motor Response t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: SpO2 t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Temp. Site t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Midazolam t0: [04:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [04:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [04:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9 vu: ml id: Urine Out Foley t0: [04:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Art.pH t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:39:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd
id: HOB t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Gastric Meds t0: [04:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: PT t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: INR t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [05:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [05:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: WBC t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 36.9 n1: 36.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: RBC t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.85 n1: 3.85 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd
id: BUN t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Albumin t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Calcium t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Glucose t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: ALT t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 31/07/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 190 n1: 190 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [06:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Midazolam t0: [06:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Stool t0: [06:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: HOB t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Sputum Color/Consist t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Back Care t0: [04:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [00:00:00 31/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 45 vu: ml id: TF Residual t0: [04:00:00 31/07/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:30:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [06:30:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:30:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:30:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: RSBI (<100) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 20.5128 n1: 20.5128 u1: units st: NotStopd id: ETT Mark/Location t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 20.5128 n1: 20.5128 u1: units st: NotStopd id: Resp Rate (Total) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.78 n1: 0.78 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Daily Wake Up t0: [08:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [08:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Cough Reflex t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: GI Prophylaxis t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Urine Color/Appear t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Gastric Meds t0: [08:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml id: GT Flush t0: [08:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [08:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 26 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 31/07/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Fingerstick Glucose t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 rs: Manual st: NotStopd
id: Service Type t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Arterial BP t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [08:30:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [08:30:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:30:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3692156 hi: 17012 t0: [10:00:00 31/07/2019] tf: [09:00:00 03/08/2019] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: PEEP Set t0: [09:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd
id: Fingerstick Glucose t0: [10:00:00 31/07/2019] el: 0 cg: CoWker cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [09:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [08:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [09:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [11:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 13.5 vu: ml id: Urine Out Foley t0: [11:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Arterial BP t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:05:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [11:05:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [11:00:00 31/07/2019] el: 0 cg: CoWker cu: CSRU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Nepro t0: [10:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [11:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml
id: Insulin t0: [11:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [11:30:00 31/07/2019] el: 0 cg: CoWker cu: CSRU v1: 79 n1: 79 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU st: NotStopd id: Apnea Time Interval t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 3692643 hi: 17012 t0: [13:00:00 31/07/2019] tf: [12:00:00 01/08/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Temp. Site t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Cerv Collar Status t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cerv Collar Status t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Cervical Collar Type t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Riker-SAS Scale t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Cough Reflex t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Daily Wake Up t0: [12:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Alarms t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [12:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [12:00:00 31/07/2019] el: 0 cg: CoWker cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: Insulin t0: [12:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [13:00:00 31/07/2019] el: 0 cg: CoWker cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Paracentesis Output t0: [12:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 4000 vu: ml
id: Insulin t0: [13:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: CVP t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 176 n1: 176 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 31/07/2019] el: 3 ai: 107 cg: PCT cu: CSRU vo: 30 vu: ml id: Nepro t0: [15:00:00 31/07/2019] el: 1 ai: 155 cg: PCT cu: CSRU vo: 270 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 31/07/2019] el: 1 ai: 416 cg: PCT cu: CSRU vo: 3 vu: ml id: Stool Out Stool t0: [15:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 650 vu: ml id: Urine Out Foley t0: [15:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 25 vu: ml
id: Insulin t0: [15:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Cough Reflex t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Daily Wake Up t0: [16:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: RUE Temp/Color t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [14:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [16:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: done id: Fingerstick Glucose t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 198 n1: 198 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [16:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [16:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Precautions t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [17:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Collar Care t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Activity t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Cervical Collar Type t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: HOB t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [10:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: y st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 195 n1: 195 rs: Manual st: NotStopd
id: Insulin t0: [17:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 750 n1: 750 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 166 n1: 166 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 31/07/2019] el: 3 ai: 107 cg: PCT cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 31/07/2019] el: 1 ai: 155 cg: PCT cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 31/07/2019] el: 1 ai: 416 cg: PCT cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [18:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 18 vu: ml
id: Insulin t0: [18:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [15:00:00 31/07/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [16:00:00 31/07/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [17:00:00 31/07/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
id: Service Type t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [19:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [19:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v2: . st: NotStopd id: FiO2 Set t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: 922 n1: 922 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 31/07/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 31/07/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [20:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Cerv Collar Status t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Cough Reflex t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Seizure Activity t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [20:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 196 n1: 196 rs: Manual st: NotStopd
id: Urine Out Foley t0: [21:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [21:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [21:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [22:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: GT Flush t0: [20:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: Urine Out Foley t0: [22:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 2 vu: ml
id: Fingerstick Glucose t0: [22:00:00 31/07/2019] el: 0 cg: PCT cu: CSRU v1: 169 n1: 169 rs: Manual st: NotStopd
id: Stool Out Stool t0: [22:00:00 31/07/2019] el: 1 cg: PCT cu: CSRU vo: 350 vu: ml
id: Stool Out Total t0: [23:00:00 31/07/2019] el: 3 cg: PCT cu: CSRU cv: 1400 ac: 24 ap: none re: 0
id: Insulin t0: [22:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [23:00:00 31/07/2019] el: 0 cg: CoWkr cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Arterial BP t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 31/07/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 31/07/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 31/07/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.5 vu: ml id: Urine Out Foley t0: [23:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [23:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v2: . st: NotStopd id: Eye Care t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Seizure Activity t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 31/07/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Insulin t0: [00:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 01/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 804 n1: 804 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [00:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [17:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 31/07/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Arterial BP t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Temp. Site t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [00:00:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [00:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [00:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU cv: 450 ac: 24 ap: none re: 0
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [02:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.5 vu: ml id: Urine Out Foley t0: [00:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Total Hourly Output t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 2160 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 0 cv: 334 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 0 cv: 1284 ac: 24 ap: none re: 0
id: Collar Care t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Alarms t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Sputum Color/Consist t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Bath t0: [00:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: done id: Fingerstick Glucose t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 rs: Manual st: NotStopd id: SaO2 t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [02:30:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [03:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Stopped id: Albumin 25% t0: [02:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: IV Infusion In Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 14 cv: 2676 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 104 cv: 5336 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 104 cv: 4052 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 104 cv: 11802 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU pv: 104 cv: 104 ac: 1 ap: none re: 0 id: Colloids Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: RUE Temp/Color t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Seizure Activity t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [03:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [05:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [05:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: Stool Out Stool t0: [05:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [04:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [05:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Stool Out Total t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
id: Art.pH t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: RSBI (<100) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 31.25 n1: 31.25 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:20:00 01/08/2019] el: 0 cg: RRT cu: CSRU st: NotStopd id: Extubation Date t0: [04:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU st: NotStopd id: FiO2 Set t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 31.25 n1: 31.25 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.736 n1: 0.736 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 762 n1: 762 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Arterial Base Excess t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:55:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: D5W 100.0ml t0: [05:00:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: PT t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: INR t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 40.2 n1: 40.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 40.2 n1: 40.2 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Calcium t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Glucose t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 157 n1: 157 rs: Final st: NotStopd id: Magnesium t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Total Bili t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: ALT t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: BUN (6-20) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 157 n1: 157 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:38:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [06:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Fingerstick Glucose t0: [06:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 208 n1: 208 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Insulin t0: [06:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 205 n1: 205 rs: Manual st: NotStopd
id: CVP t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Arterial BP t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [07:00:00 01/08/2019] el: 1 cg: CoOPst cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 206 n1: 206 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: WBC t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Hematocrit t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 34.2 n1: 34.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 77 n1: 77 rs: Final st: NotStopd id: RBC t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.59 n1: 3.59 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:56:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 850 n1: 850 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Aggitation t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal activity st: NotStopd id: Anxiety t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No anxiety st: NotStopd id: Ataxia t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Daily Wake Up t0: [08:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Insomnia t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Nausea and Vomiting t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Paroxysmal Sweats t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No sweat visible st: NotStopd id: Seizure t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: Sustained Nystamus t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUE Temp/Color t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Seizure Activity t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 01/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [08:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml id: Drain Out #1 Other t0: [08:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [08:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [08:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: No st: NotStopd id: Arterial BP t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd
id: Insulin t0: [09:00:00 01/08/2019] el: 1 cg: CoOPst cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Precautions t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:10:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [09:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Insulin t0: [09:10:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 175 n1: 175 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Bladder Pressure t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Aggitation t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Anxiety t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ataxia t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Auditory Disturbance t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: CIWA Sum Total t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Drowsiness t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Headache t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Insomnia t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Nausea and Vomiting t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Orient/Clouding Sens t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Paroxysmal Sweats t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Seizure t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Slurred Speech t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sustained Nystamus t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tactile Disturbances t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tremor t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Visual Disturbances t0: [11:00:00 01/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3695863 hi: 17012 t0: [12:00:00 01/08/2019] tf: [11:00:00 02/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3695864 hi: 17012 t0: [12:00:00 01/08/2019] tf: [11:00:00 02/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 01/08/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [11:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9 vu: ml id: Drain Out #1 Other t0: [11:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Insulin t0: [10:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Drain #1 Total Out t0: [23:00:00 01/08/2019] el: 3 cg: RN cu: CSRU cv: 650 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [11:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Cerv Collar Status t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Daily Wake Up t0: [12:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUE Temp/Color t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prone st: NotStopd id: Position t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Seizure Activity t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: Urine Out Foley t0: [12:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [12:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [13:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: Urine Out Foley t0: [13:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Fingerstick Glucose t0: [13:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 90 n1: 90 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: Urine Out Foley t0: [13:30:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 24 vu: ml
id: Service Type t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Arterial BP t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 4 vu: ml
id: Fingerstick Glucose t0: [14:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 94 n1: 94 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [15:00:00 01/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 90 n1: 90 rs: Manual st: NotStopd
pi: 3696589 hi: 17012 t0: [20:00:00 01/08/2019] tf: [07:00:00 12/08/2019] mn: Midodrine HCl pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3696590 hi: 17012 t0: [23:00:00 01/08/2019] tf: [07:00:00 12/08/2019] mn: Octreotide Acetate pt: IV Piggyback st: Discontinued rt: SC fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:30:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: D5W 100.0ml t0: [12:30:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [15:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 29 vu: ml
id: Insulin t0: [13:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 01/08/2019] el: 0 cg: CoWork cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Service Type t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Seizure Activity t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Skin Care t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:30:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Nepro t0: [16:30:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 135 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:30:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [16:30:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [16:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [17:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [16:33:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 32.8 n1: 32.8 u1: % rs: Final st: NotStopd
id: ETT Mark/Location t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Creatinine t0: [16:33:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [16:33:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:33:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:33:00 01/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 01/08/2019] el: 0 cg: CoWork cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 01/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [18:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: Nepro t0: [17:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [18:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [18:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [18:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Insulin t0: [19:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 01/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUE Temp/Color t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [19:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [20:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Temp. Site t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd
id: ETT Mark/Location t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: 779 n1: 779 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:50:00 01/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Arterial BP t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [21:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [21:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [20:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [21:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 01/08/2019] el: 0 cg: CoWork cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [22:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 01/08/2019] el: 0 cg: CoWork cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [22:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 01/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 01/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 01/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [23:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [23:00:00 01/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 623 n1: 623 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coping st: NotStopd id: Eye Care t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [23:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Stopped
id: Insulin t0: [00:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Alarms t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 01/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd
id: Urine Out Foley t0: [00:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: D5W 100.0ml t0: [00:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Gastric Meds t0: [00:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: GT Flush t0: [00:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: PO/Gastric In Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU cv: 1860 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: done
id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [02:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml nb: 1 id: Urine Out Foley t0: [01:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [02:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 124 cv: 1136.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 214 cv: 5256.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 2160 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 407 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 199 cv: 3299.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 199 cv: 15101.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 199 cv: 199 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 1957 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 203 n1: 203 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 205 n1: 205 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Size t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Intubation Date t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [01:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [02:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [03:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [01:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [04:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Albumin 25% t0: [00:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Urine Out Foley t0: [03:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [04:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Colloids Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: RSBI (<100) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 25.393 n1: 25.393 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 25.393 n1: 25.393 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.827 n1: 0.827 u1: L st: NotStopd id: Sputum Color/Consist t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 905 n1: 905 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:43:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 230 n1: 230 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [05:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [05:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: GT Flush t0: [05:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: Insulin t0: [05:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [05:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Alarms t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: BUN t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Calcium t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Glucose t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 234 n1: 234 rs: Final st: NotStopd id: Magnesium t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 234 n1: 234 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: PT t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: INR t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37.6 n1: 37.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: PTT(22-35) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37.6 n1: 37.6 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: WBC t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Hematocrit t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 32.8 n1: 32.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 rs: Final st: NotStopd id: RBC t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:27:00 02/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd
id: ETT Mark/Location t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: SpO2 t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Mean Airway Pressure t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 922 n1: 922 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Fingerstick Glucose t0: [06:00:00 02/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 224 n1: 224 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5.5 vu: ml id: Urine Out Foley t0: [06:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Insulin t0: [06:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Stool t0: [06:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 650 vu: ml
id: Service Type t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 197 n1: 197 rs: Manual st: NotStopd
id: Insulin t0: [07:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: L/min st: NotStopd id: PEEP Set t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 913 n1: 913 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:28:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 6 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: D5W 100.0ml t0: [08:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [08:00:00 02/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [08:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 41 vu: ml
id: Cerv Collar Status t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: HOB t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Skin Care t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Fingerstick Glucose t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 rs: Manual st: NotStopd id: Braden Activity t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Insulin t0: [08:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 02/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Insulin t0: [09:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Neg Insp Force(>-25) t0: [09:30:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: . st: NotStopd
id: Fingerstick Glucose t0: [10:00:00 02/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 153 n1: 153 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Insulin t0: [10:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Insulin t0: [11:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: L/min st: NotStopd id: PEEP Set t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 32 n1: 32 st: NotStopd id: Sensitivity-Vent t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 874 n1: 874 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:10:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: D5W 100.0ml t0: [12:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [12:00:00 02/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [11:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [12:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9 vu: ml id: GT Flush t0: [12:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml
id: Pain Present t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: calprevflg t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: Urine Out Foley t0: [12:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 37 vu: ml
id: Insulin t0: [12:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cerv Collar Status t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough Reflex t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Alarms t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#4 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#4 t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Seizure Activity t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Skin Care t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Temp. Site t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [12:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Fingerstick Glucose t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: GI#1 Tube Stat/Drain t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Stool Color/Consist t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd
id: Fingerstick Glucose t0: [13:00:00 02/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9 vu: ml id: Urine Out Foley t0: [13:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [13:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 02/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 58 n1: 58 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 7 vu: ml
id: Insulin t0: [14:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [14:30:00 02/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Service Type t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:30:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [14:30:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [15:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 14 vu: ml
id: Fingerstick Glucose t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 rs: Manual st: NotStopd
id: Insulin t0: [15:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: 732 n1: 732 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:45:00 02/08/2019] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [15:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 6 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Reason For Restraint t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [16:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Insulin t0: [16:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml
id: Insulin t0: [17:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Family Communication t0: [17:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: SocServ Involved st: NotStopd id: Family Communication t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Heart Rate t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [16:00:00 02/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Drain Out #1 Other t0: [18:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: GT Flush t0: [18:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 300 vu: ml id: Stool Out Stool t0: [18:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 650 vu: ml id: Urine Out Foley t0: [18:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [18:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 02/08/2019] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: none re: 0
id: Assistance Device t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Assistance Device t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Assistance Device t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Turn t0: [08:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Turn t0: [12:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Turn t0: [16:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd
id: Service Type t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [19:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Insulin t0: [19:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: 810 n1: 810 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:30:00 02/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: Pain Assess Method t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 02/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Airway Size t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [20:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [19:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [20:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Braden Activity t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [21:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [21:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [22:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [21:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Service Type t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 02/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 02/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 02/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml st: Restart id: Urine Out Foley t0: [23:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: D5W 100.0ml t0: [23:00:00 02/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [23:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 rs: Manual st: NotStopd
id: Insulin t0: [23:00:00 02/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [00:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 03/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Alarms t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Airway Size t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 02/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml
id: INV#1Chg o/Wire Date t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd
id: ETT Mark/Location t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: L/min st: NotStopd id: PEEP Set t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 1036 n1: 1036 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:05:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 03/08/2019] el: 0 cg: NA cu: CSRU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [01:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:00:00 03/08/2019] el: 0 cg: NA cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Service Type t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 03/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [01:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [02:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 9 vu: ml id: Urine Out Foley t0: [00:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [02:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 22 cv: 740 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 112 cv: 4610 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 7 cv: 7 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 2250 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 7 cv: 288 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 105 cv: 2672 ac: 24 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 105 cv: 105 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 7 cv: 1938 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [02:00:00 03/08/2019] el: 0 cg: NA cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Gastric Meds t0: [20:00:00 02/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: Free Water Bolus t0: [20:00:00 02/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml
id: LOS Net Body Balance t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU pv: 105 cv: 17773.5 ac: multiple days ap: carryForward re: 0
id: Fingerstick Glucose t0: [03:00:00 03/08/2019] el: 0 cg: NA cu: CSRU v1: 68 n1: 68 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cerv Collar Status t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Cervical Collar Type t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Collar Care t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 03/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 03/08/2019] el: 1 cg: RN cu: CSRU v1: done id: Fingerstick Glucose t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [04:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [03:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [03:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Insulin t0: [04:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 21.5311 n1: 21.5311 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 21.5311 n1: 21.5311 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.836 n1: 0.836 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 819 n1: 819 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: WBC t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: Hematocrit t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: RBC t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [05:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [05:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: INR t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37.7 n1: 37.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: PTT(22-35) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37.7 n1: 37.7 rs: Final st: NotStopd
id: BUN t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Calcium t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.5 n1: 9.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Glucose t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 rs: Final st: NotStopd id: Magnesium t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.5 n1: 9.5 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:19:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 03/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [06:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Fingerstick Glucose t0: [06:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 rs: Manual st: NotStopd
id: Gastric Meds t0: [06:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: Free Water Bolus t0: [04:00:00 03/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Stool Out Stool t0: [06:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml
id: Insulin t0: [06:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [07:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:00:00 03/08/2019] el: 0 cg: NA cu: CSRU v1: 162 n1: 162 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: In-Line Sx Change t0: [04:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd
id: ETT Mark/Location t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 18.6 n1: 18.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 772 n1: 772 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: PEEP Set t0: [09:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 890 n1: 890 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd
id: INV#1Chg o/Wire Date t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Seizure Activity t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [08:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [08:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [09:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Glucose t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:33:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Gag Reflex t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: PEEP Set t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 822 n1: 822 u1: ml/B st: NotStopd id: Ventilator Type t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [10:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml
id: Glucose t0: [10:00:00 03/08/2019] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 rs: Manual st: NotStopd id: Glucose (70-105) t0: [10:00:00 03/08/2019] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 rs: Manual st: NotStopd
id: PEEP Set t0: [11:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 875 n1: 875 u1: ml/B st: NotStopd
pi: 3702528 hi: 17012 t0: [12:00:00 03/08/2019] tf: [11:00:00 04/08/2019] mn: Dextrose 50% pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: INV#1Chg o/Wire Date t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 rs: Manual st: NotStopd id: Diet Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: ETT Mark/Location t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: FiO2 Set t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GI Intub #1/Site t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Abdominal Assessment t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Resp Rate (Total) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Pattern t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Color/Consist t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Stool Management t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orange v2: Sediment st: NotStopd id: Urine Source t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [10:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Glucose (70-105) t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 8 vu: ml st: Stopped id: Urine Out Foley t0: [11:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: ETT Mark/Location t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 18.8 n1: 18.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 846 n1: 846 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Glucose t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 181 n1: 181 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:42:00 03/08/2019] el: 0 cg: 3161 cu: CSRU v1: 181 n1: 181 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #2 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: ImpSkin Drain/Amt#2 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Moderate st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #4 t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: ImpSkin Wth/Lth #2 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 cm v2: 2 cm st: NotStopd id: LLE Temp/Color t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [07:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [09:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Free Water Bolus t0: [08:00:00 03/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Free Water Bolus t0: [12:00:00 03/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [12:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [10:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Insulin t0: [11:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 03/08/2019] el: 0 cg: CoWker cu: CSRU v1: 207 n1: 207 rs: Manual st: NotStopd
id: Sputum Color/Consist t0: [13:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: PEEP Set t0: [13:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [13:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 03/08/2019] el: 0 cg: CoWker cu: CSRU v1: 246 n1: 246 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Arterial BP t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 222 n1: 222 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [14:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: Urine Out Foley t0: [13:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [14:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [13:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 771 n1: 771 u1: ml/B st: NotStopd id: Ventilator Type t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 222 n1: 222 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [15:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [15:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Code Status t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough Reflex t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Resp Rate (Total) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Seizure Activity t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Skin Care t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 940 n1: 940 u1: ml/B st: NotStopd id: Turn t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [12:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: In-Line Sx Change t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Ventilator Type t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [16:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [16:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 03/08/2019] el: 0 cg: CoWker cu: CSRU v1: 190 n1: 190 rs: Manual st: NotStopd
id: High Insp. Pressure t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 21.6 n1: 21.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Ve High t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [16:00:00 03/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd
id: Free Water Bolus t0: [16:00:00 03/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml
id: Service Type t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: PEEP Set t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 993 n1: 993 u1: ml/B st: NotStopd id: Ventilator Type t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [17:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [17:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Assistance Device t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Spont) t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 990 n1: 990 u1: ml/B st: NotStopd id: In-Line Sx Change t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Ventilator Type t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Drain Out #1 Other t0: [18:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Stool Out Stool t0: [18:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [18:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [18:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU cv: 1600 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: PT Splint Loc/Stat#1 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Position t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Turn t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Education Topic #1 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Side Rails t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd
id: Service Type t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [19:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 03/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [20:00:00 03/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Free Water Bolus t0: [20:00:00 03/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [20:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 24 vu: ml
id: Insulin t0: [20:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 03/08/2019] el: 3 cg: RN cu: CSRU cv: 1620 ac: 24 ap: none re: 0
id: Activity t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Skin Care t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Turn t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: ETT Mark/Location t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [21:00:00 03/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [21:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: Insulin t0: [21:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [22:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [22:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [23:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 03/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 03/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [23:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 7 vu: ml
id: Insulin t0: [23:00:00 03/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: INV#1Chg o/Wire Date t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 900 n1: 900 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:30:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 04/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#4 t0: [20:00:00 03/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 04/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [00:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [00:00:00 04/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [01:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Albumin 25% t0: [00:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Free Water Bolus t0: [00:00:00 04/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Stool Out Stool t0: [01:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [01:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 14 vu: ml
id: Insulin t0: [00:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU cv: 1340 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 250 cv: 1175 ac: 24 ap: carryForward re: 0 id: Colloids Total t0: [23:00:00 04/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [02:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 4 vu: ml
id: Fingerstick Glucose t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [03:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: IV Infusion In Total t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 23 cv: 2950 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 113 cv: 6190 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 873 cv: 873 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 90 cv: 1800 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 23 cv: 248 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: -760 cv: -983 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: -760 cv: 16790.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: -760 cv: -760 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 873 cv: 7173 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [03:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 04/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 6 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 199 n1: 199 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Free Water Bolus t0: [04:00:00 04/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [04:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 7 vu: ml
id: Insulin t0: [04:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 28.0488 n1: 28.0488 u1: units st: NotStopd id: ETT Mark/Location t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 28.0488 n1: 28.0488 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.82 n1: 0.82 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 720 n1: 720 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:20:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: WBC t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: RBC t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.96 n1: 2.96 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fingerstick Glucose t0: [05:00:00 04/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 185 n1: 185 rs: Manual st: NotStopd
id: PT t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.4 n1: 17.4 rs: Final st: NotStopd id: INR t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 39.3 n1: 39.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.4 n1: 17.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 39.3 n1: 39.3 rs: Final st: NotStopd
id: Insulin t0: [05:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Calcium t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Glucose t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 162 n1: 162 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 162 n1: 162 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [06:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [06:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [06:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 7 vu: ml
id: Insulin t0: [06:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Insulin t0: [07:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: NBP t0: [08:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: NBP Mean t0: [08:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 805 n1: 805 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Method t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Deferred st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: LLE Temp/Color t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Braden Activity t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 11 vu: ml id: Free Water Bolus t0: [08:00:00 04/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [08:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Insulin t0: [08:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [09:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Insulin t0: [09:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3704345 hi: 17012 t0: [10:00:00 04/08/2019] tf: [09:00:00 04/08/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3704383 hi: 17012 t0: [10:00:00 04/08/2019] tf: [09:00:00 05/08/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [10:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
pi: 3704412 hi: 17012 t0: [11:00:00 04/08/2019] tf: [20:00:00 04/08/2019] mn: Metoclopramide pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: PEEP Set t0: [10:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Tidal Volume (Obser) t0: [10:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd
id: Service Type t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [10:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Insulin t0: [10:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [11:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [11:00:00 04/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [11:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [11:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Stool Out Stool t0: [11:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Insulin t0: [11:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fresh Frozen Plasma t0: [11:00:00 04/08/2019] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 04/08/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Urine Out Foley t0: [11:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Procedures t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd
id: ETT Mark/Location t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 710 n1: 710 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Ionized Calcium t0: [11:43:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.23 n1: 1.23 rs: Final st: NotStopd
pi: 3704689 hi: 17012 t0: [13:00:00 04/08/2019] tf: [12:00:00 05/08/2019] mn: Hydromorphone pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: Off st: NotStopd id: Arterial BP t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Back Care t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [12:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Insulin t0: [12:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cough Reflex t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Imp Skin Cleanse #4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #5 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #5 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #5 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 3 cm v2: 4 cm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: Level of Conscious t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd
id: INV Line#1 Zero/Cal t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Erythematous st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [13:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [13:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Daily Weight t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd
id: Insulin t0: [14:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: LLE Temp/Color t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: RLE Temp/Color t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd
id: D5W 100.0ml t0: [12:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [14:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 16 vu: ml
id: Pain Level t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Cause t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abdominal st: NotStopd id: Pain Management t0: [12:00:00 04/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Pain Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Constant st: NotStopd id: Sputum Color/Consist t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
pi: 3704874 hi: 17012 t0: [15:00:00 04/08/2019] tf: [14:00:00 05/08/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Mean Airway Pressure t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 796 n1: 796 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [14:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: D5W t0: [15:00:00 04/08/2019] el: 1 ai: 109 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Paracentesis Output t0: [15:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 4000 vu: ml
id: Temp. Site t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Insulin t0: [15:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 170 n1: 170 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: 951 n1: 951 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 04/08/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [16:00:00 04/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [16:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 140 vu: ml
id: Insulin t0: [16:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cough Reflex t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: LLE Temp/Color t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: RLE Temp/Color t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cerv Collar Status t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Collar Care t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Education Topic #1 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Impaired Skin Site#5 t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: PT Splint Loc/Stat#1 t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: Off st: NotStopd id: Position t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: In-Line Sx Change t0: [15:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Behavior t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: INV#1Chg o/Wire Date t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd
id: Art.pH t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: -11 n1: -11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 129 n1: 129 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Hematocrit t0: [16:29:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: % rs: Final st: NotStopd
id: Magnesium t0: [16:11:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [16:11:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:11:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:11:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 04/08/2019] el: 0 cg: CoWker cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [17:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MRI st: NotStopd id: Respiratory Rate t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [17:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [19:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vu: ml st: Restart id: Nepro t0: [16:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Drain Out #1 Other t0: [17:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Diet Type t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Respiratory Pattern t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Stool Color/Consist t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Source t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Stool Out Stool t0: [19:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 325 vu: ml
pi: 3705346 hi: 17012 t0: [20:00:00 04/08/2019] tf: [22:00:00 04/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 1000 ml/hr for 2000 ml ir: 1000 it: C ss: N dt: 2 di: Hours xu: Enter on Label
id: FIO2 Alarm-High t0: [20:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: FIO2 Alarm-Low t0: [20:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau-Off t0: [20:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Remote Alarm t0: [20:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator No. t0: [20:00:00 04/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3705441 hi: 17012 t0: [21:00:00 04/08/2019] tf: [20:00:00 05/08/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3705442 hi: 17012 t0: [21:00:00 04/08/2019] tf: [20:00:00 05/08/2019] 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 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 04/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [19:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: LLE Temp/Color t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: TF Residual t0: [20:00:00 04/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Nepro t0: [20:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [20:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Insulin t0: [20:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Tank A psi. t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: 1080 n1: 1080 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:15:00 04/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Cough Reflex t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Gag Reflex t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: Drain Out #1 Other t0: [20:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 900 vu: ml
id: Service Type t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [21:00:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [21:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
id: Insulin t0: [21:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ImpSkin Character #4 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #5 t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 180 vu: ml id: Nepro t0: [22:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [22:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 19 vu: ml
id: Fingerstick Glucose t0: [22:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd
id: Insulin t0: [22:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3705613 hi: 17012 t0: [23:00:00 04/08/2019] tf: [22:00:00 05/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Stool Out Stool t0: [22:30:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Drain Out #1 Other t0: [22:30:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Service Type t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 04/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 04/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [23:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Insulin t0: [23:00:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [23:15:00 04/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: Hematocrit t0: [23:13:00 04/08/2019] el: 0 cg: 3161 cu: CSRU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd
id: Drain #1 Total Out t0: [23:00:00 04/08/2019] el: 3 cg: 3161 cu: CSRU pv: 600 cv: 1750 ac: 24 ap: none re: 0
id: Service Type t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Sputum Cx st: NotStopd id: Respiratory Rate t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Tan v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [22:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [23:30:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [23:30:00 04/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 978 n1: 978 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 04/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: LLE Temp/Color t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [00:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 6 vu: ml
id: Insulin t0: [00:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [00:00:00 05/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [00:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Albumin 25% t0: [00:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Free Water Bolus t0: [00:00:00 05/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml
id: PO/Gastric In Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU cv: 520 ac: 24 ap: none re: 0 id: Colloids Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [01:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [01:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [01:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ve High t0: [01:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: calprevflg t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [02:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Insulin t0: [02:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [02:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Minute Volume(Obser) t0: [02:10:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 11.5 n1: 11.5 u1: L/min st: NotStopd id: Resp Rate (Total) t0: [02:10:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [02:10:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 1050 n1: 1050 u1: ml/B st: NotStopd
id: Art.pH t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:07:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd
id: ETT Position Change t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [03:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Insulin t0: [03:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 22 cv: 2632 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 72 cv: 4452 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 50 cv: 1200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 561 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 52 cv: 2941 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 52 cv: 19731.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 52 cv: 52 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 1511 ac: 24 ap: none re: 0
id: Art.pH t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 198 n1: 198 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: CaO2 t0: [03:38:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7019 n1: 12.7019 u1: ml/dl st: NotStopd id: WBC t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Hematocrit t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 rs: Final st: NotStopd id: RBC t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Gag Reflex t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [04:00:00 05/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [04:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Insulin t0: [04:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [04:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml
id: PT t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: INR t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 54.8 n1: 54.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 54.8 n1: 54.8 rs: Final st: NotStopd
id: BUN t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Calcium t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Total Bili t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: BUN (6-20) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:26:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: RSBI (<100) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 12.2222 n1: 12.2222 u1: units st: NotStopd id: ETT Mark/Location t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [02:10:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [02:10:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Pressure Support t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 12.2222 n1: 12.2222 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.9 n1: 0.9 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 1110 n1: 1110 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [05:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [06:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Drain Out #1 Other t0: [06:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Stool Out Stool t0: [06:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [06:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [06:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Drain #1 Total Out t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: High Resp. Rate t0: [06:30:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd
id: Ve High t0: [07:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd
id: Service Type t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [07:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: LLE Temp/Color t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [06:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [08:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Free Water Bolus t0: [08:00:00 05/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Insulin t0: [08:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: 1050 n1: 1050 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 05/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Eye Care t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Skin Care t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [08:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [09:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3706384 hi: 17012 t0: [10:00:00 05/08/2019] tf: [10:00:00 08/08/2019] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 3706421 hi: 17012 t0: [10:00:00 05/08/2019] tf: [09:00:00 06/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: PEEP Set t0: [09:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 1020 n1: 1020 u1: ml/B st: NotStopd
id: Fingerstick Glucose t0: [10:00:00 05/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Reason For Restraint t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: calprevflg t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [09:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Insulin t0: [10:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:28:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [11:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 1070 n1: 1070 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 05/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
pi: 3706906 hi: 17012 t0: [13:00:00 05/08/2019] tf: [14:00:00 17/08/2019] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Right Upper st: NotStopd id: LLE Temp/Color t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level (Rest) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [10:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Pain Management t0: [12:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [11:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [12:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3706919 hi: 17012 t0: [14:00:00 05/08/2019] tf: [01:00:00 08/08/2019] mn: Sodium Bicarbonate pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [13:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [13:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [13:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [14:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [14:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 165 n1: 165 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:13:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Eye Care t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Therapeutic Bed t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: ETT Mark/Location t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: 810 n1: 810 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 05/08/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [16:00:00 05/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [16:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Free Water Bolus t0: [16:00:00 05/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [15:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [16:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [17:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Level t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Cerv Collar Status t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [10:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [12:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Eye Care t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Level (Rest) t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [17:00:00 05/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Position t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Therapeutic Bed t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 05/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [17:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [18:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Stool t0: [18:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Stool Out Total t0: [23:00:00 05/08/2019] el: 3 cg: RN cu: CSRU cv: 850 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: 1005 n1: 1005 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:00:00 05/08/2019] el: 0 cg: 4312 cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [20:00:00 05/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [20:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Insulin t0: [20:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [22:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Insulin t0: [21:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Calcium t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: BUN t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: BUN (6-20) t0: [22:01:00 05/08/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: 886 n1: 886 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 06/08/2019] el: 0 cg: 4312 cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #5 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #4 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #5 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #5 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 2 cm v2: 3 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: Previous Weight t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 05/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [01:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: DONE id: Behavior t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [00:00:00 06/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 150 vu: ml id: Nepro t0: [00:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [23:00:00 05/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 05/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [00:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [00:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 05/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU cv: 540 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [02:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [02:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Insulin t0: [02:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 27 cv: 750 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 117 cv: 3110 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 90 cv: 1720 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 30 cv: 541 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 87 cv: 1944 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 87 cv: 21675.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 87 cv: 87 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU pv: 30 cv: 1166 ac: 24 ap: none re: 0
id: RSBI (<100) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: units st: NotStopd id: ETT Mark/Location t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Tank A psi. t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 856 n1: 856 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:05:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pressure Support t0: [04:10:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: . st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 108.7 n1: 108.7 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Weight Change t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: -1 n1: -1 u1: kg st: NotStopd id: Daily Weight t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Behavior t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [04:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Insulin t0: [04:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [04:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [05:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: TF Residual t0: [04:00:00 06/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [06:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Stool Out Stool t0: [06:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Insulin t0: [06:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 161 n1: 161 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:43:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: WBC t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Hematocrit t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: RBC t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.75 n1: 2.75 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd
id: PT t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: INR t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: PTT(22-35) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd
id: BUN t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Calcium t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Glucose t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Total Bili t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: ALT t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: BUN (6-20) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:29:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [07:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abdominal st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: TF Residual t0: [08:00:00 06/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [08:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Free Water Bolus t0: [08:00:00 06/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Fingerstick Glucose t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [08:00:00 06/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: ETT Mark/Location t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 900 n1: 900 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Management t0: [08:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push v2: Repositioned st: NotStopd id: Arterial BP Mean t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Insulin t0: [08:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [09:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [10:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Fingerstick Glucose t0: [10:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Insulin t0: [10:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [11:00:00 06/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml
id: Insulin t0: [11:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Bladder Pressure t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Risk for Falls t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [11:30:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Heart Rate t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ecchymotic st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 06/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3.5 vu: ml id: Stool Out Stool t0: [12:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [12:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [12:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Position Change t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: . st: NotStopd id: Airway Size t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: CVP t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: HOB t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Position t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Assistance Device t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Skin Care t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [13:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Insulin t0: [13:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Family Communication t0: [13:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd
id: Service Type t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Urine Out Foley t0: [14:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 11 vu: ml
id: Insulin t0: [14:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Albumin 25% t0: [14:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 06/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Position Change t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Radiologic Study t0: [14:30:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Stool Guaiac t0: [12:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd
id: Service Type t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [15:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [15:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: HOB t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [16:00:00 06/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [16:00:00 06/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [15:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 80 vu: ml id: Nepro t0: [16:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 06/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.5 vu: ml id: Free Water Bolus t0: [16:00:00 06/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [16:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: ETT Mark/Location t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 20.4 n1: 20.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 06/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 75 n1: 75 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [17:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [18:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: Stool Out Stool t0: [18:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 325 vu: ml id: Urine Out Foley t0: [18:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Total t0: [23:00:00 06/08/2019] el: 3 cg: Rn cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Family Communication t0: [17:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Family Communication t0: [18:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd
id: Service Type t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 06/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml
id: Insulin t0: [19:00:00 06/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: 912 n1: 912 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 06/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Fam Talked to RN st: NotStopd id: Follows Commands t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 209 n1: 209 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 06/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 2 vu: ml st: Restart id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [20:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 40 vu: ml
id: Insulin t0: [20:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 201 n1: 201 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 06/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 10 vu: ml
id: Insulin t0: [21:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 195 n1: 195 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 06/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 30 vu: ml
id: Art.pH t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 158 n1: 158 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:18:00 06/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU st: NotStopd id: Risk for Falls t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Care t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 30 vu: ml id: Nepro t0: [23:00:00 06/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: GT Flush t0: [22:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 30 vu: ml
id: Fingerstick Glucose t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 222 n1: 222 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 765 n1: 765 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Gag Reflex t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Ascites st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Verbal v2: Withdraws st: NotStopd id: Seizure Activity t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Spouse st: NotStopd id: Urine Source t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [00:00:00 07/08/2019] el: 1 ai: 112 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 06/08/2019] el: 1 ai: 112 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 60 vu: ml id: Nepro t0: [00:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 06/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 7 vu: ml id: Free Water Bolus t0: [00:00:00 07/08/2019] el: 1 ai: 107 cg: Rn cu: CSRU vo: 100 vu: ml id: GT Flush t0: [00:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 15 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU cv: 1570 ac: 24 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #5 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#4 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Leg, Left Upper st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: Skin Integrity t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: INV#1 Cap Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Fingerstick Glucose t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 193 n1: 193 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [00:00:00 07/08/2019] el: 1 ai: 105 cg: Rn cu: CSRU vo: 150 vu: ml
id: Alarms t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [20:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Temp. Site t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Less Restrict Meas. t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Bladder Pressure t0: [21:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Daily Wake Up t0: [01:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU st: NotStopd id: Heart Rate t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Character #5 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 15 vu: ml
id: Insulin t0: [01:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Care t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Assistance Device t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [23:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU v1: Done id: Fingerstick Glucose t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [02:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [02:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 25 vu: ml
id: Art.pH t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Glucose t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 157 n1: 157 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:54:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd
id: INV#1Chg o/Wire Date t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Care t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [20:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Position t0: [23:00:00 06/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 3.5 vu: ml id: Urine Out Foley t0: [03:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 15 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU cv: 1067.58 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU cv: 4167.58 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: 615 cv: 615 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU cv: 1530 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: 15 cv: 436 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: -615 cv: 2381.58 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: -615 cv: 24057.1 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: -615 cv: -615 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: 615 cv: 1786 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: WBC t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Hematocrit t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: RBC t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.73 n1: 2.73 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd
id: PT t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: INR t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 45.4 n1: 45.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: PTT(22-35) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 45.4 n1: 45.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Care t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: LLE Temp/Color t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [01:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Position t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Turn t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Urine Source t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [02:00:00 07/08/2019] el: 1 ai: 105 cg: Rn cu: CSRU vo: 50 vu: ml id: TF Residual t0: [04:00:00 07/08/2019] el: 1 ai: 112 cg: Rn cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 4 vu: ml id: GT Flush t0: [04:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 26 vu: ml
id: Insulin t0: [00:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 06/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 21.3904 n1: 21.3904 u1: units st: NotStopd id: High Insp. Pressure t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 21.3904 n1: 21.3904 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.748 n1: 0.748 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 825 n1: 825 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: BUN t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Albumin t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Calcium t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Glucose t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Total Bili t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: ALT t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: BUN (6-20) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:15:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Pain Assess Method t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [05:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: Therapeutic Bed t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 4 vu: ml id: Stool Out Stool t0: [05:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [05:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 15 vu: ml
id: Insulin t0: [05:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 07/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd
pi: 3713735 hi: 17012 t0: [07:00:00 07/08/2019] tf: [06:00:00 08/08/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Arterial BP t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [06:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [06:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 35 vu: ml
id: Insulin t0: [06:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [06:00:00 07/08/2019] el: 1 ai: 105 cg: Rn cu: CSRU vo: 60 vu: ml
id: Service Type t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Arterial BP t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [07:00:00 07/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/08/2019] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/08/2019] el: 3 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 07/08/2019] el: 1 ai: 155 cg: Rn cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 07/08/2019] el: 1 ai: 416 cg: Rn cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [07:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 30 vu: ml
id: Insulin t0: [07:00:00 07/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 07/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Character #5 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #4 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Treatment #5 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#4 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Back, Upper st: NotStopd id: Impaired Skin Site#5 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Leg, Left Upper st: NotStopd id: LLE Temp/Color t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 07/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [08:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Free Water Bolus t0: [08:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [08:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 940 n1: 940 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Oral Care t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Insulin t0: [09:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 171 n1: 171 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [10:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [09:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: ETT Mark/Location t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 708 n1: 708 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP st: NotStopd id: Ventilator Type t0: [11:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 07/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [11:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Free Water Bolus t0: [12:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [11:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [11:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Eye Care t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd
id: Art.pH t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Glucose t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 158 n1: 158 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:56:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 158 n1: 158 rs: Final st: NotStopd
id: ETT Mark/Location t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: Apnea Time Interval t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 724 n1: 724 u1: ml/B st: NotStopd id: Ventilator Type t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Ventilator Mode t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: PEEP Set t0: [13:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd
pi: 3715064 hi: 17012 t0: [15:00:00 07/08/2019] tf: [14:00:00 17/08/2019] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [13:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [13:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped
id: Insulin t0: [15:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [15:00:00 07/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 07/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [15:00:00 07/08/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 07/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Art.pH t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:09:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: Creatinine t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Potassium t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Chloride t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [17:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [17:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Free Water Bolus t0: [17:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [17:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: BUN t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: BUN (6-20) t0: [15:53:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Fingerstick Glucose t0: [17:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml st: Restart
id: ETT Mark/Location t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Pressure Support t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 646 n1: 646 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: No st: NotStopd id: Eye Care t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: Logroll st: NotStopd id: calprevflg t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 07/08/2019] el: 0 cg: 6919 cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/08/2019] el: 2 ai: 107 cg: 6919 cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/08/2019] el: 3 ai: 107 cg: 6919 cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 07/08/2019] el: 1 ai: 155 cg: 6919 cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 07/08/2019] el: 1 ai: 416 cg: 6919 cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [18:00:00 07/08/2019] el: 1 cg: 6919 cu: CSRU vo: 15 vu: ml
id: Stool Out Stool t0: [18:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: ETT Mark/Location t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: 625 n1: 625 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 07/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [20:15:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:15:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Temp. Site t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [20:00:00 07/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/08/2019] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [20:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [20:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: INV#1Chg o/Wire Date t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Cerv Collar Status t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Cough Reflex t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Eye Opening t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: Pupil Response R/L t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Responds to Stimuli t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Skin Integrity t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Behavior t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:20:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 254 n1: 254 rs: Manual st: NotStopd
id: Insulin t0: [20:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:20:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.25 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 07/08/2019] el: 0 cg: CoWork cu: CSRU v1: 236 n1: 236 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: HOB t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: SpO2 t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [22:00:00 07/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 07/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 07/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 12.0833 vu: ml id: Urine Out Foley t0: [21:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [21:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.25 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 6.25 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 213 n1: 213 rs: Manual st: NotStopd
id: Service Type t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:30:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [22:30:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 1130 n1: 1130 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
id: Insulin t0: [23:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Chloride t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Glucose t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 190 n1: 190 rs: Final st: NotStopd id: Potassium t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 190 n1: 190 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [23:47:00 07/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Oral Care t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 07/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Skin Integrity t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Braden Activity t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Insulin t0: [00:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3717084 hi: 17012 t0: [08:00:00 08/08/2019] tf: [16:00:00 12/08/2019] mn: Sodium Bicarbonate pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [00:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 14.375 vu: ml id: Stool Out Stool t0: [23:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [00:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 07/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [00:05:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3.75 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 07/08/2019] el: 3 cg: RN cu: CSRU pv: 600 cv: 1350 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [00:00:00 08/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 1000.0ml t0: [01:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [01:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.0625 vu: ml
id: Insulin t0: [01:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.75 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cough Reflex t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: LLE Temp/Color t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUE Temp/Color t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Urine Out Foley t0: [01:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 14 vu: ml
id: D5W 1000.0ml t0: [02:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [02:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.75 vu: ml id: Albumin 25% t0: [02:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 200 cv: 300 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: Previous WeightF t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.75 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:15:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nepro t0: [00:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml st: Stopped id: Nepro t0: [01:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [02:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [00:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Free Water Bolus t0: [02:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Free Water Bolus t0: [22:00:00 07/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: Insulin t0: [03:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 1260 ac: 24 ap: none re: 0
id: Service Type t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 107.7 n1: 107.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:05:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 rs: Manual st: NotStopd
id: Insulin t0: [03:05:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 1000.0ml t0: [03:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [03:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.1875 vu: ml id: Urine Out Foley t0: [02:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [03:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 16 vu: ml
id: Less Restrict Meas. t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [04:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.54167 vu: ml id: Free Water Bolus t0: [04:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [04:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
id: Insulin t0: [04:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:15:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 rs: Manual st: NotStopd
id: Insulin t0: [04:15:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 29.8063 n1: 29.8063 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 29.8063 n1: 29.8063 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.671 n1: 0.671 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 547 n1: 547 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [05:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [06:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [06:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [04:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [05:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [06:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.125 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [05:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [06:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [05:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: CVP t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: HOB t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Sputum Color/Consist t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: WBC (4-11,000) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: WBC t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: Hematocrit t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27.1 n1: 27.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: RBC t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.63 n1: 2.63 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.4 n1: 6.4 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [06:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Glucose t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: Total Bili t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: BUN (6-20) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: INR t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 47.2 n1: 47.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: PTT(22-35) t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 47.2 n1: 47.2 rs: Final st: NotStopd
id: Carbon Dioxide t0: [05:41:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [07:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [07:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [07:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 08/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Gastric Meds t0: [08:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [08:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [08:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [08:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [08:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 08/08/2019] el: 0 cg: 6919 cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 18.5 n1: 18.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 870 n1: 870 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [09:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [09:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [10:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Insulin t0: [10:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 08/08/2019] el: 0 cg: 6919 cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Cerv Collar Status t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Eye Care t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Urine Out Foley t0: [07:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: ETT Mark/Location t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 735 n1: 735 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [11:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [11:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Previous Weight t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: Weight Change t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Art.pH t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:38:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Pain Present t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 08/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 08/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 1000.0ml t0: [12:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [12:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [12:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 08/08/2019] el: 0 cg: 6919 cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Extubation Date t0: [12:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: FiO2 Set t0: [12:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Intubation Date t0: [12:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 v2: 24 n2: 24 st: NotStopd id: O2 Delivery Device t0: [12:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 08/08/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Art.pH t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:07:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [13:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [13:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [13:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 105 n2: 105 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Position t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [14:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [14:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [11:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [14:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 08/08/2019] el: 0 cg: 6919 cu: CSRU v1: 113 n1: 113 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [15:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [15:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [15:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 08/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Scant st: NotStopd id: Sputum Source/Amt t0: [14:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 3 Inapprop words st: NotStopd id: calprevflg t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [16:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [16:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [15:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [16:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:30:00 08/08/2019] el: 0 cg: 6919 cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [17:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [17:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [17:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [18:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [18:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [18:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Stool t0: [18:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [17:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Stool Out Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 200 ac: 24 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 35.2222 n1: 35.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 95.4 n1: 95.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 182 n1: 182 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [20:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [20:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [20:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 37 vu: ml
id: Service Type t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [20:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [21:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [21:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [20:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [21:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd
pi: 3720214 hi: 17012 t0: [23:00:00 08/08/2019] tf: [10:00:00 09/08/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: Q6H ds: 23, 5, 11, 17 dn: 4 dt: 2 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [22:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Paracentesis Output t0: [22:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 6000 vu: ml id: Urine Out Foley t0: [22:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Total Hourly Output t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 363 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU cv: 6563 ac: 24 ap: none re: 0
id: Art.pH t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:45:00 08/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [23:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 09/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 83 n1: 83 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: Paracentesis st: NotStopd id: Pupil Response R/L t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 08/08/2019] el: 0 cg: RN cu: CSRU v1: 251 n1: 251 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [00:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [23:00:00 08/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [23:00:00 08/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 08/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Albumin 25% t0: [23:00:00 08/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 200 vu: ml uu: Units id: Urine Out Foley t0: [00:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Insulin t0: [00:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 08/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 21.5 cv: 751.542 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 221.5 cv: 2491.54 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 221.5 cv: -4071.46 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 221.5 cv: 19985.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 08/08/2019] el: 3 cg: RN cu: CSRU pv: 221.5 cv: 221.5 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [01:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [02:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [02:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [02:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 757 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 65 cv: 2177 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU cv: 402 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 65 cv: 675 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 65 cv: 20660.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 65 cv: 65 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU cv: 1502 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 09/08/2019] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [03:00:00 09/08/2019] el: 1 cg: Rn cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough Reflex t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [02:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 09/08/2019] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [04:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 34 vu: ml
id: Fingerstick Glucose t0: [04:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 rs: Manual st: NotStopd
id: Insulin t0: [04:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: WBC t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Hematocrit t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 23.9 n1: 23.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: RBC t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd
id: Calcium t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: Glucose t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: PT t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: INR t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 41.9 n1: 41.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 41.9 n1: 41.9 rs: Final st: NotStopd
id: BUN t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:51:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [05:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 09/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [06:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [06:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [06:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [06:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Delivery Device t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Imp Skin Cleanse #4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Imp Skin Cleanse #5 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Character #4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Character #5 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Drain/Amt#4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #5 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wound Base#4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wth/Lth #4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wth/Lth #5 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Impaired Skin Site#4 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Impaired Skin Site#5 t0: [08:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 09/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: Previous Weight t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110.7 n1: 110.7 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU u1: mmHg u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Weight Change t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: -13.6 n1: -13.6 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [08:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [08:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [08:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [08:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Bladder Pressure t0: [08:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 82 n1: 82 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [09:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [09:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [09:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: Insulin t0: [09:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [08:49:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [10:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [10:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [10:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3721606 hi: 17012 t0: [12:00:00 09/08/2019] tf: [14:00:00 17/08/2019] mn: Calcium Acetate pt: Unit Dose st: Discontinued rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3721623 hi: 17012 t0: [11:00:00 09/08/2019] tf: [16:00:00 10/08/2019] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours pi: 3721655 hi: 17012 t0: [11:00:00 09/08/2019] tf: [16:00:00 10/08/2019] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q1-2H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [11:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 85 n1: 85 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [11:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.5 vu: ml id: Urine Out Foley t0: [11:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [11:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 09/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Readiness t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [12:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [12:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [12:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [12:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Cerv Collar Status t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami Acute st: NotStopd id: Collar Care t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Therapeutic Bed t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Gastric Meds t0: [08:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [11:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [12:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [08:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Free Water Bolus t0: [12:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: GT Flush t0: [11:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [13:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [13:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [13:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Service Type t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [14:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [14:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [14:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Insulin t0: [14:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [15:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: FiO2 Set t0: [15:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [15:00:00 09/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3722494 hi: 17012 t0: [16:00:00 09/08/2019] tf: [15:00:00 10/08/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [15:00:00 09/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Readiness t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [15:00:00 09/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 1000.0ml t0: [15:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.5 vu: ml id: Stool Out Stool t0: [15:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 900 vu: ml id: Urine Out Foley t0: [15:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [15:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 1000.0ml t0: [15:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml
id: Fingerstick Glucose t0: [16:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 174 n1: 174 rs: Manual st: NotStopd
id: Service Type t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [16:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [16:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: Urine Out Foley t0: [16:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [16:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [16:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [16:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml
id: PO/Gastric In Total t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU cv: 900 ac: 24 ap: none re: 0
id: Creatinine t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Potassium t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:53:00 09/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 168 n1: 168 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [17:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [17:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Foley t0: [17:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [17:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cerv Collar Status t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Collar Care t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Position t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Skin Care t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: HOB Measurement t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [16:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 09/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 170 n1: 170 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [18:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [18:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [18:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [18:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 rs: Manual st: NotStopd
id: TF Residual t0: [19:00:00 09/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 1000.0ml t0: [19:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [19:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Foley t0: [19:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [19:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Stool t0: [18:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU cv: 1100 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Cough Reflex t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Leg v2: On st: NotStopd id: Arterial BP t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [20:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [20:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [21:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [21:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 16 vu: ml
id: Insulin t0: [20:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [22:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [22:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [22:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 09/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [23:00:00 09/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 09/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 09/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml
id: Tube Feeds In Total t0: [23:00:00 09/08/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 520 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Cough Reflex t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 09/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [00:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml
id: Fingerstick Glucose t0: [00:00:00 10/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 185 n1: 185 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [01:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [00:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 34 vu: ml
id: Fingerstick Glucose t0: [01:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 215 n1: 215 rs: Manual st: NotStopd
id: Insulin t0: [00:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 09/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 224 n1: 224 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [02:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [02:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [02:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Insulin t0: [02:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU cv: 450 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [03:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [03:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [03:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [03:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 613 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 3013 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 406 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: -10 cv: 1907 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: -10 cv: 22567.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: -10 cv: -10 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU pv: 20 cv: 1106 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: done id: Fingerstick Glucose t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [04:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [04:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [04:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Position t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [04:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: WBC (4-11,000) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: WBC t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: Hematocrit t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 21.8 n1: 21.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: RBC t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.09 n1: 2.09 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.1 n1: 6.1 rs: Final st: NotStopd
id: PT t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: INR t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 51.1 n1: 51.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: PTT(22-35) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 51.1 n1: 51.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [03:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [06:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [06:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [06:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [05:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [05:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: BUN t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Calcium t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: Glucose t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Carbon Dioxide t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Urine Out Foley t0: [05:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cerv Collar Status t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: On st: NotStopd id: Cervical Collar Type t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Management t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [08:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [08:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Foley t0: [08:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Insulin t0: [08:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [08:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Gastric Meds t0: [09:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [09:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [09:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [09:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Insulin t0: [09:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 rs: Manual st: NotStopd
id: D5W 1000.0ml t0: [10:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [10:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [10:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 3725435 hi: 17012 t0: [14:00:00 10/08/2019] tf: [16:00:00 10/08/2019] mn: Sevelamer pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Family Communication t0: [10:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [11:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml st: Stopped id: Urine Out Foley t0: [11:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Insulin t0: [11:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
pi: 3725436 hi: 17012 t0: [12:00:00 10/08/2019] tf: [11:00:00 11/08/2019] mn: Epoetin Alfa pt: IV Piggyback st: Expired rt: SC fr: 1X dt: 1 di: Doses xu: Enter on Label pi: 3725437 hi: 17012 t0: [12:00:00 10/08/2019] tf: [17:00:00 10/08/2019] mn: Fluconazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3725438 hi: 17012 t0: [13:00:00 10/08/2019] tf: [12:00:00 13/08/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [12:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [12:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: D5W 1000.0ml t0: [12:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [13:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [13:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [12:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [13:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Less Restrict Meas. t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Family Communication t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Heart Rate t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [14:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [14:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Albumin 25% t0: [14:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Urine Out Foley t0: [14:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Colloids Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: calprevflg t0: [15:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [15:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [15:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [15:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: INV#1Chg o/Wire Date t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Service Type t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Site Date t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2InsertDate t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: IV #1 Insert Date t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Arterial BP t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: calprevflg t0: [15:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [15:30:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped id: Nepro t0: [15:30:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 22.5 vu: ml st: Stopped
pi: 3725963 hi: 17012 t0: [18:00:00 10/08/2019] tf: [22:00:00 11/08/2019] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 3725973 hi: 17012 t0: [17:00:00 10/08/2019] tf: [16:00:00 11/08/2019] mn: Caspofungin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 3725985 hi: 17012 t0: [17:00:00 10/08/2019] tf: [14:00:00 17/08/2019] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Discontinued rt: PO fr: Q8H ds: 2, 10, 18 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Sodium t0: [16:03:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:03:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Cerv Collar Status t0: [17:00:00 10/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Cervical Collar Type t0: [17:00:00 10/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Collar Care t0: [17:00:00 10/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3726048 hi: 17012 t0: [18:00:00 11/08/2019] tf: [17:00:00 19/08/2019] mn: Caspofungin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label
id: Service Type t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Cerv Collar Status t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: DC'd st: NotStopd id: Cervical Collar Type t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Miami J st: NotStopd id: Code Status t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Collar Care t0: [12:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [16:30:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [16:30:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Less Restrict Meas. t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Circulation/SkinInt t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Position t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pupil Response R/L t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Spontaneous Movement t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Nepro t0: [17:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [17:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Less Restrict Meas. t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 10/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Meds t0: [18:00:00 10/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [18:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [18:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [18:00:00 10/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Stool Out Stool t0: [18:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [18:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU cv: 1100 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU cv: 700 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 10/08/2019] el: 0 cg: CoWork cu: CSRU v1: 279 n1: 279 rs: Manual st: NotStopd
id: Blood Products t0: [18:06:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Service Type t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [19:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 10/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Temperature F t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Temperature F t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Packed RBC's t0: [19:15:00 10/08/2019] el: 1 ai: -1 cg: RN cu: CSRU vo: 375 vu: ml uu: Units id: D5W 1000.0ml t0: [20:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Temp. Site t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd
id: Total Bili t0: [04:56:00 10/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [22:00:00 10/08/2019] el: 1 ai: -1 cg: RN cu: CSRU vo: 375 vu: ml uu: Units id: D5W 1000.0ml t0: [22:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 10/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [22:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Blood Products Total t0: [23:00:00 10/08/2019] el: 3 cg: RN cu: CSRU cv: 750 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 10/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Less Restrict Meas. t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Bowel Sounds t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Temperature F t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Temperature F t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 10/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [00:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 10/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [00:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 255 n1: 255 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [02:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [02:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [03:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [03:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Albumin 25% t0: [00:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units
id: Less Restrict Meas. t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [03:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Position t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: D5W 100.0ml t0: [05:00:00 11/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Oral Care t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [06:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 11/08/2019] el: 1 ai: 416 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 31 n2: 31 st: NotStopd id: GU Catheter Size t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [08:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [08:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [08:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: GI#1 Tube PlaceCheck t0: [09:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [10:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Sputum Color/Consist t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: GU Cath Insert Date t0: [10:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Urine Color/Appear t0: [10:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [10:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Service Type t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
pi: 3728096 hi: 17012 t0: [13:00:00 11/08/2019] tf: [00:00:00 12/08/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: Q6H ds: 13, 19, 1, 7 dn: 4 dt: 2 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Family Communication t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Clear st: NotStopd id: GU Cath Insert Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Paracentesis st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 207 n1: 207 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 11/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Meds t0: [12:00:00 11/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [12:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Albumin 25% t0: [12:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Free Water Bolus t0: [12:00:00 11/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [12:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Sputum Color/Consist t0: [12:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tan v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [12:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Paracentesis Output t0: [12:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 10000 vu: ml
id: Less Restrict Meas. t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd id: Radiologic Study t0: [10:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#3 Cap Change t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [13:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [14:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Albumin 25% t0: [13:30:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 200 vu: ml uu: Units id: Urine Out Foley t0: [13:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Therapeutic Bed t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [15:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vu: ml
id: CVP t0: [16:00:00 11/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: Pain Assess Method t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Discontinued st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: INV Line#2 D/C Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Discontinued st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:15:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Procedures t0: [16:30:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Procedures t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Pupil Response R/L t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUE Temp/Color t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Gastric Meds t0: [16:00:00 11/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [16:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [17:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [16:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [17:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [17:00:00 11/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 203 n1: 203 rs: Manual st: NotStopd
id: Gastric Meds t0: [18:00:00 11/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [18:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [18:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU cv: 1000 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #1 Insert Date t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Pain Location t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [19:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [20:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [20:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Albumin 25% t0: [19:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units id: Albumin 25% t0: [20:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units id: Urine Out Foley t0: [20:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Albumin 25% t0: [20:15:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: Service Type t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Albumin 25% t0: [21:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU cv: 600 ac: 24 ap: none re: 0
pi: 3729220 hi: 17012 t0: [23:00:00 11/08/2019] tf: [12:00:00 13/08/2019] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q2H ds: 23, 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21 dn: 12 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Position t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [22:00:00 11/08/2019] el: 1 cg: RN cu: CSRU v1: DONE
id: Gastric Meds t0: [22:00:00 11/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [22:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU cv: 1040 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 11/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 11/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 590 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 2590 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 360 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 12/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 273 n1: 273 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 12/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Pain Location t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Gastric Meds t0: [00:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [00:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 11/08/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Total Hourly Output t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 520 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: -8930 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: 13637.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/08/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 11520 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Position t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [02:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Total Hourly Output t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 2 cv: 2 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 2 cv: 390 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 2 cv: 2740 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [02:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [03:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 3555 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU cv: 1880 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 1035 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 53 cv: 815 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 53 cv: 14452.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU pv: 53 cv: 53 ac: 1 ap: none re: 0
id: WBC (4-11,000) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: WBC t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Hematocrit t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 23.9 n1: 23.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: RBC t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.38 n1: 2.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd
id: PT t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: INR t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 40.6 n1: 40.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: PTT(22-35) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 40.6 n1: 40.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 12/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: IV #1 Insert Date t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [04:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [04:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Albumin 25% t0: [00:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Urine Out Foley t0: [03:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Colloids Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: BUN t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Calcium t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Glucose t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 171 n1: 171 rs: Final st: NotStopd id: Magnesium t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 171 n1: 171 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:43:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: Stool Out Stool t0: [04:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 700 vu: ml
id: Service Type t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v2: Off st: NotStopd id: Position t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [06:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [06:00:00 12/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 266 n1: 266 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Seizure Activity t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [08:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Less Restrict Meas. t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Position Change t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Type t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: INV#3 Cap Change t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd
id: Service Type t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Stool Out Stool t0: [09:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [09:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
id: Service Type t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [10:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: HOB t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 12/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: D5W 1000.0ml t0: [11:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
pi: 3730766 hi: 17012 t0: [13:00:00 12/08/2019] tf: [12:00:00 13/08/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [12:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [12:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Fingerstick Glucose t0: [12:00:00 12/08/2019] el: 0 cg: CoWork cu: CSRU v1: 319 n1: 319 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 12/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 1000.0ml t0: [13:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position Change t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [10:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [14:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [16:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [16:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Stool Out Stool t0: [13:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 700 vu: ml id: Urine Out Foley t0: [13:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [16:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 3731686 hi: 17012 t0: [10:00:00 12/08/2019] tf: [14:00:00 13/08/2019] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued rt: SC fr: QMOWEFR ds: 10 di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Insert Date t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #1 Site/Size t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #3 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Location t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [15:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [12:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [13:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [18:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [18:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [12:00:00 12/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Free Water Bolus t0: [15:00:00 12/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Free Water Bolus t0: [18:00:00 12/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [18:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Drain Out #1 Other t0: [18:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Stool Out Stool t0: [18:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Stool Out Total t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU cv: 2250 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 12/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 193 n1: 193 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [20:00:00 12/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Mark/Location t0: [20:00:00 12/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [20:00:00 12/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Intubation Date t0: [20:00:00 12/08/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 1000.0ml t0: [20:00:00 12/08/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 12/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: Oral Care t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Type t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Braden Activity t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 1000.0ml t0: [20:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Hematocrit t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 28.7 n1: 28.7 u1: % rs: Final st: NotStopd
id: GI Prophylaxis t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI#1 Intub Site t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI Intub #1/Site t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Oral Cavity t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Stool Color/Consist t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Sediment st: NotStopd id: Bowel Sounds t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [20:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vu: ml id: D5W 1000.0ml t0: [21:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vu: ml id: D5W 1000.0ml t0: [22:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [21:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vu: ml id: Nepro t0: [22:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: GT Flush t0: [20:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [21:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [22:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Gastric Meds t0: [22:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [22:00:00 12/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml
id: BUN t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 rs: Final st: NotStopd id: Calcium t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Glucose t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 222 n1: 222 rs: Final st: NotStopd id: Magnesium t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 222 n1: 222 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:58:00 12/08/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Pain Present t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 12/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 12/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [21:00:00 12/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [23:00:00 12/08/2019] el: 1 cg: RN cu: CSRU vo: 2 vu: ml
id: Less Restrict Meas. t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Intub Site t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: Oral Care t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 12/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd id: Bowel Sounds t0: [00:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [00:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 1000.0ml t0: [00:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [00:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Stool Out Stool t0: [00:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 750 vu: ml id: Urine Out Foley t0: [00:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Stool Out Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 1575 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 317 n1: 317 rs: Manual st: NotStopd
id: Gastric Meds t0: [01:30:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [01:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: GT Flush t0: [01:30:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [01:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Less Restrict Meas. t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [02:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [03:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Free Water Bolus t0: [03:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: Less Restrict Meas. t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Intub Site t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 5 mm v2: 5 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUE Temp/Color t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Albumin 25% t0: [00:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: Temp. Site t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd
id: WBC (4-11,000) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: WBC t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: Hematocrit t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 26.6 n1: 26.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: RBC t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.59 n1: 2.59 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 rs: Final st: NotStopd
id: PT t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 41.1 n1: 41.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 41.1 n1: 41.1 rs: Final st: NotStopd
id: BUN t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.5 n1: 9.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Glucose t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 218 n1: 218 rs: Final st: NotStopd id: Magnesium t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.5 n1: 9.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 218 n1: 218 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:30:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Fingerstick Glucose t0: [06:00:00 13/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 164 n1: 164 rs: Manual st: NotStopd
id: Stool Out Stool t0: [06:00:00 13/08/2019] el: 1 cg: CoWkr cu: CSRU vo: 400 vu: ml
id: Service Type t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 13/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 1000.0ml t0: [06:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Less Restrict Meas. t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUE Temp/Color t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: Oral Care t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [08:00:00 13/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 1000.0ml t0: [08:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 13 vu: ml
id: Service Type t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [09:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: BSA t0: [09:15:00 13/08/2019] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [09:15:00 13/08/2019] el: 1032 cg: -1 cu: CSRU v1: 92.5 n1: 92.5 u1: kg id: Allergy 1 t0: [09:15:00 13/08/2019] el: 1020 cg: -1 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [09:15:00 13/08/2019] el: 1023 cg: -1 cu: CSRU v1: ALTERED MENTAL STATUS;TELEMETRY id: Service t0: [09:15:00 13/08/2019] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [09:15:00 13/08/2019] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [09:15:00 13/08/2019] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [09:15:00 13/08/2019] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [09:15:00 13/08/2019] el: 1000 cg: -1 cu: CSRU v1: U id: Allergy 2 t0: [09:15:00 13/08/2019] el: 1021 cg: -1 cu: CSRU id: Ext t0: [09:15:00 13/08/2019] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [09:15:00 13/08/2019] el: 1022 cg: -1 cu: CSRU
id: Previous Weight t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Weight Change t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [09:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 13/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Meds t0: [10:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [10:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [10:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Family Communication t0: [10:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd
id: Service Type t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
pi: 3734611 hi: 17012 t0: [13:00:00 13/08/2019] tf: [14:00:00 17/08/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3734612 hi: 17012 t0: [23:00:00 13/08/2019] tf: [14:00:00 17/08/2019] mn: Lactulose pt: Unit Dose st: Discontinued rt: PO fr: Q2H ds: 23, 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21 dn: 12 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 285 n1: 285 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 1000.0ml t0: [12:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [12:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [12:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: IV #1 D/C Date t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 13 n2: 13 st: NotStopd id: IV Site Appear #1 t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd
id: Pain Present t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd
id: Gastric Meds t0: [12:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Albumin 25% t0: [12:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [13:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [12:00:00 13/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [14:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Position Change t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [16:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [16:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [16:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [16:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Free Water Bolus t0: [15:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [14:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [16:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: INV#3 Dsg Change t0: [08:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd
id: Pupil Size R/L t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Fully Dilated v2: Fully Dilated st: NotStopd
id: Service Type t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Family Communication t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Procedures t0: [16:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Hemodialysis end st: NotStopd id: Respiratory Rate t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:45:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [16:00:00 13/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 1000.0ml t0: [17:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Fingerstick Glucose t0: [18:00:00 13/08/2019] el: 0 cg: CoWork cu: CSRU v1: 198 n1: 198 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [17:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [18:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [18:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [18:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [18:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Stool Out Stool t0: [18:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 425 vu: ml id: Urine Out Foley t0: [18:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 24 vu: ml
id: Sodium t0: [18:00:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:00:00 13/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Level t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Management t0: [20:00:00 13/08/2019] el: 1 cg: RN cu: CSRU v1: Repositioned st: NotStopd id: Position t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 7 mm v2: 7 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [20:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [20:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: GT Flush t0: [20:00:00 13/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Temp. Site t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Service Type t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [21:00:00 13/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: PO/Gastric In Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 3220 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Family Communication t0: [21:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Heart Rate t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 13/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Total Hourly Output t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 105 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU cv: 1680 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 13/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 13/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 580 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 5030 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 3350 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 17802.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/08/2019] el: 3 cg: RN cu: CSRU pv: 55 cv: 55 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 14/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 287 n1: 287 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 14/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Intub Site t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 6 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 13/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [00:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [00:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 2 vu: ml
id: Temp. Site t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd
id: Stool Out Stool t0: [00:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Stool Out Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: carryForward re: 0
id: Albumin 25% t0: [00:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [00:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 1000.0ml t0: [01:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [02:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [02:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: GT Flush t0: [02:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [03:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [03:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [03:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 930 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 4765 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 2700 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 1035 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 47 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 4468 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 22270.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/08/2019] el: 3 cg: RN cu: CSRU cv: 297 ac: 24 ap: carryForward re: 0
id: WBC (4-11,000) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: WBC t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: Hematocrit t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: RBC t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.71 n1: 2.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd
id: PT t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 55.4 n1: 55.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 55.4 n1: 55.4 rs: Final st: NotStopd
id: BUN t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Glucose t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 204 n1: 204 rs: Final st: NotStopd id: Magnesium t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 204 n1: 204 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:55:00 14/08/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 14/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Intub Site t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 mm v2: 6 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [04:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [04:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: GT Flush t0: [04:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Temp. Site t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd
id: Service Type t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Fingerstick Glucose t0: [06:00:00 14/08/2019] el: 0 cg: CoWkr cu: CSRU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [06:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [06:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [06:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [06:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: D5W 100.0ml t0: [06:00:00 14/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI Intub #1/Site t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Source t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd
id: D5W 1000.0ml t0: [08:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml
id: Less Restrict Meas. t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Seizure Activity t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Verbal Response t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [08:00:00 14/08/2019] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 1000.0ml t0: [09:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [10:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: D5W 100.0ml t0: [10:00:00 14/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Meds t0: [09:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [09:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: GT Flush t0: [09:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Stool Out Stool t0: [08:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Stool Out Stool t0: [09:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 219 n1: 219 rs: Manual st: NotStopd
id: TF Residual t0: [12:00:00 14/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [12:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [12:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Albumin 25% t0: [12:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units id: Free Water Bolus t0: [12:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: Cough Reflex t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLE Temp/Color t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pupil Response R/L t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Temp. Site t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [13:00:00 14/08/2019] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Risk for Falls t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 14/08/2019] el: 0 cg: CoOPst cu: CSRU v1: 206 n1: 206 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [11:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [13:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 14/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [16:00:00 14/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Meds t0: [16:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [13:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [15:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [16:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [17:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [18:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [15:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [16:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [17:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [18:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [15:00:00 14/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: GT Flush t0: [16:00:00 14/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml
id: Eye Care t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Activity t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: Skin Care t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: INV#3 Cap Change t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Eye Care t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [17:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Pain Present t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 14/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Health Care Proxy t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Gag Reflex t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Rate t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Management t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Verbal Response t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 1000.0ml t0: [20:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [20:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 14/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 14/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3740765 hi: 17012 t0: [02:00:00 15/08/2019] tf: [01:00:00 16/08/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Gag Reflex t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Rate t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Management t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 271 n1: 271 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 1000.0ml t0: [01:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro t0: [01:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [01:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: DONE
id: D5W 1000.0ml t0: [02:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Albumin 25% t0: [00:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml uu: Units id: Stool Out Stool t0: [02:00:00 15/08/2019] el: 1 cg: RN cu: CSRU vo: 1100 vu: ml
id: Stool Out Total t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 2100 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 2100 ac: 24 ap: none re: 0 id: Colloids Total t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [02:00:00 15/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [03:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [00:00:00 15/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: IV Infusion In Total t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 470 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 2795 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 1420 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 855 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 695 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 22965.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/08/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Response t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Gag Reflex t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt #3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [20:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 14/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Management t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 1000.0ml t0: [04:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: WBC t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: Hematocrit t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 28.1 n1: 28.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: RBC t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 2.71 n1: 2.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [06:00:00 15/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [05:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [06:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [06:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [06:00:00 15/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: PT t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: INR t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 44.5 n1: 44.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 44.5 n1: 44.5 rs: Final st: NotStopd
id: BUN t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 rs: Final st: NotStopd id: Calcium t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Glucose t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 215 n1: 215 rs: Final st: NotStopd id: Magnesium t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 215 n1: 215 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:45:00 15/08/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.5 n1: 88.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 1000.0ml t0: [07:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [08:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [08:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Stool t0: [08:00:00 15/08/2019] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml
id: Service Type t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 15/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: TF Residual t0: [08:00:00 15/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [09:00:00 15/08/2019] el: 1 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 1000.0ml t0: [09:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [09:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [10:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: HOB t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
pi: 3742176 hi: 17012 t0: [13:00:00 15/08/2019] tf: [12:00:00 16/08/2019] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 15/08/2019] el: 0 cg: CoWork cu: CSRU v1: 236 n1: 236 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Pupil Response R/L t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUE Temp/Color t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [11:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 15/08/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [12:00:00 15/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 1000.0ml t0: [11:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [12:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro t0: [11:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [12:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Free Water Bolus t0: [12:00:00 15/08/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 15/08/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: Activity t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right knee st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arm, Left Lower st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLE Temp/Color t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [17:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [16:00:00 15/08/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 1000.0ml t0: [13:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [14:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [15:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [16:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [17:00:00 15/08/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [14:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [15:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [16:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro t0: [17:00:00 15/08/2019] el: 1 ai: 155 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 15/08/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
ci: 32706 t0: [22:19:00 24/07/2019] cu: CSRU de: Regular ward dt: 31583
pi: 3749367 hi: 17012 t0: [15:00:00 17/08/2019] tf: [16:00:00 17/08/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3749368 hi: 17012 t0: [15:00:00 17/08/2019] tf: [16:00:00 17/08/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3749369 hi: 17012 t0: [15:00:00 17/08/2019] tf: [10:00:00 20/08/2019] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 3749768 hi: 17012 t0: [17:00:00 17/08/2019] tf: [08:00:00 18/08/2019] mn: Morphine Sulfate pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
pi: 3751110 hi: 17012 t0: [09:00:00 18/08/2019] tf: [10:00:00 20/08/2019] mn: Morphine Sulfate pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
pi: 3755409 hi: 17012 t0: [18:00:00 19/08/2019] tf: [12:00:00 20/08/2019] mn: Scopolamine Patch pt: Unit Dose st: Discontinued rt: TP fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 3757022 hi: 17012 t0: [05:00:00 20/08/2019] tf: [04:00:00 21/08/2019] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 3757470 hi: 17012 t0: [10:00:00 20/08/2019] tf: [11:00:00 20/08/2019] mn: Hyoscyamine pt: Unit Dose st: Inactive (Due to a change order) rt: SL fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 3757739 hi: 17012 t0: [11:00:00 20/08/2019] tf: [16:00:00 21/08/2019] mn: Morphine Sulfate pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 3757740 hi: 17012 t0: [11:00:00 20/08/2019] tf: [16:00:00 21/08/2019] mn: Lorazepam pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q1H:PRN di: Ongoing xv: 36 xu: Hours pi: 3757741 hi: 17012 t0: [11:00:00 20/08/2019] tf: [16:00:00 21/08/2019] mn: Lorazepam pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q4H ds: 11, 15, 19, 23, 3, 7 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 3757742 hi: 17012 t0: [11:00:00 20/08/2019] tf: [16:00:00 21/08/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q1H:PRN di: Ongoing xv: 36 xu: Hours
pi: 3758212 hi: 17012 t0: [12:00:00 20/08/2019] tf: [16:00:00 21/08/2019] mn: Hyoscyamine pt: Unit Dose st: Discontinued via patient discharge rt: SL fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3758213 hi: 17012 t0: [12:00:00 20/08/2019] tf: [11:00:00 21/08/2019] mn: Atropine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 3758293 hi: 17012 t0: [13:00:00 20/08/2019] tf: [12:00:00 21/08/2019] mn: Scopolamine Patch pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours