This log is also available as text (226cc.txt) and as a (binary) annotation file (226cc.log).
Generated: Thursday, 23-Apr-2009 00:35:55 EDT
(All dates below are surrogates.)
id: Service Type t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 3.75 vu: ml id: Lactated Ringers 1000.0ml t0: [01:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 5.625 vu: ml id: Urine Out Foley t0: [01:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 3 vu: ml
id: Fentanyl t0: [01:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -11 n1: -11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: calprevflg t0: [02:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:30:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Lactated Ringers 1000.0ml t0: [02:30:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 3.75 vu: ml id: Urine Out Foley t0: [02:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 2 vu: ml
id: Fentanyl t0: [02:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: Ventilator No. t0: [03:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Pain Present t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Agitated st: NotStopd id: Daily Wake Up t0: [03:00:00 19/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: Risk for Falls t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Management t0: [03:00:00 19/04/2014] el: 1 cg: RN cu: -1 v1: IV Gtt st: NotStopd id: Pain Type t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Lactated Ringers 1000.0ml t0: [03:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 3.75 vu: ml id: Urine Out Foley t0: [03:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 38 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 2 vu: ml
id: Fentanyl t0: [03:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 71 cv: 2629.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 111 cv: 4092.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 390 cv: 390 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 390 cv: 3211 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: -279 cv: 881.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: -279 cv: 8828.17 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: -279 cv: -279 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 390 cv: 3211 ac: 24 ap: none re: 0
id: Plateau-Off t0: [03:40:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: ETT Mark/Location t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: . v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Not Applicable st: NotStopd id: Pressure Support t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 753 n1: 753 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:39:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Diet Type t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: GI#1 Intub Site t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: GI Intub #1/Site t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GU Cath Insert Date t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: HOB t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Position Change t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Reason For Restraint t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Tachypneic st: NotStopd id: Restraint Location t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Behavior Conts st: NotStopd id: Side Rails t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Color/Consist t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Color/Consist t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [01:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [02:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Urine Source t0: [03:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd
id: TF Residual t0: [03:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 100 vu: ml
id: WBC (4-11,000) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: WBC t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: Hematocrit t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: RBC t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.48 n1: 2.48 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.7 n1: 8.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Cough Reflex t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Education Barrier t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Eye Care t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: Activity t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Poor st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ins/Exp Wheeze st: NotStopd id: Reason For Restraint t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Significant Events t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fluid Bolus st: NotStopd id: Skin Care t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bloody v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Support Systems t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Agitated st: NotStopd id: Bowel Sounds t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: TF Residual t0: [04:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [02:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Lactated Ringers 1000.0ml t0: [04:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 250 vu: ml
id: BUN t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 38 n1: 38 rs: Final st: NotStopd id: BUN (6-20) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 71.4 n1: 71.4 rs: Final st: NotStopd id: PTT t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 33.9 n1: 33.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 71.4 n1: 71.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 33.9 n1: 33.9 rs: Final st: NotStopd
id: IV #4 Insert Date t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #4 t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd
id: Service Type t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [05:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [05:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CPK/MB t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 37 n1: 37 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 19/04/2014] el: 0 cg: CoWkr cu: -1 v1: 132 n1: 132 rs: Manual st: NotStopd
id: Fibrinogen t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 358 n1: 358 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [03:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 358 n1: 358 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: HOB t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Arterial BP t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: Previous WeightF t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: calprevflg t0: [06:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:30:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: Lactated Ringers 1000.0ml t0: [06:30:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11.25 vu: ml id: Urine Out Foley t0: [06:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 6 vu: ml
id: Fentanyl t0: [06:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.15 n1: 7.15 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -11 n1: -11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 117 n1: 117 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:31:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.15 n1: 7.15 rs: Final st: NotStopd
id: Pain Present t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Daily Wake Up t0: [06:30:00 19/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: Pain Location t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Management t0: [06:30:00 19/04/2014] el: 1 cg: RN cu: -1 v1: IV Gtt st: NotStopd id: Pain Type t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Temp. Site t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [06:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: Deg. F st: NotStopd
id: Service Type t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Lactated Ringers 1000.0ml t0: [07:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 3.75 vu: ml id: Urine Out Foley t0: [07:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: I:E Ratio-Calculated t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:4.8 st: NotStopd id: I:E Ratio-TCPCV t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:4.8 st: NotStopd id: Airway Size t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PCV Insp Vt (Obser) t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 690 n1: 690 u1: ml/B st: NotStopd id: PCV Set Insp. Press t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: . st: NotStopd id: PEEP Set t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Bloody v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: I:E Ratio-TCPCV t0: [08:01:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Art.pH t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.14 n1: 7.14 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -12 n1: -12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:36:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.14 n1: 7.14 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 19/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: FiO2 Set t0: [09:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Insp Wheeze st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ins/Exp Wheeze st: NotStopd id: Reason For Restraint t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Red v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [08:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Gastric Meds t0: [08:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [09:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: Significant Events t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fluid Bolus st: NotStopd id: SpO2 t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [10:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [11:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [08:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: I:E Ratio-Calculated t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:5.3 st: NotStopd id: Airway Size t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PCV Insp Vt (Obser) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 820 n1: 820 u1: ml/B st: NotStopd id: PCV Set Insp. Press t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: . st: NotStopd id: PEEP Set t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Scant st: NotStopd id: TCPCV Insp. Pressure t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 127 n1: 127 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Red v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [12:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [13:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 127 n1: 127 u1: BPM st: NotStopd id: Arterial BP t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 157 n1: 157 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:15:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Lactated Ringers 1000.0ml t0: [13:15:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 1.25 vu: ml id: Fresh Frozen Plasma t0: [13:15:00 19/04/2014] el: 1 ai: 209 cg: RN cu: -1 vo: 279 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:15:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 1.875 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:15:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 1 vu: ml
id: Fentanyl t0: [13:15:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:15:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [13:15:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: Lactated Ringers 1000.0ml t0: [14:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 3.75 vu: ml id: Fresh Frozen Plasma t0: [14:00:00 19/04/2014] el: 1 ai: 209 cg: RN cu: -1 vo: 294 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 5.625 vu: ml id: Urine Out Foley t0: [14:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd
id: Gastric Meds t0: [14:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 30 vu: ml id: GT Flush t0: [14:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 30 vu: ml
id: Fentanyl t0: [14:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [15:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8.75 vu: ml id: Urine Out Foley t0: [15:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4.5 vu: ml
id: Fentanyl t0: [15:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fresh Frozen Plasma t0: [15:00:00 19/04/2014] el: 1 ai: 209 cg: RN cu: -1 vo: 307 vu: ml uu: Units
id: ETT Mark/Location t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: I:E Ratio-Calculated t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:5.3 st: NotStopd id: Airway Size t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PCV Insp Vt (Obser) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 570 n1: 570 u1: ml/B st: NotStopd id: PCV Set Insp. Press t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: . st: NotStopd id: PEEP Set t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Scant st: NotStopd id: TCPCV Insp. Pressure t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 270 n1: 270 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Art.pH t0: [16:16:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 6.9 n1: 6.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:16:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -15 n1: -15 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:16:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaO2 t0: [16:16:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:16:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 6.9 n1: 6.9 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: WBC t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: Hematocrit t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 35.2 n1: 35.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 173 n1: 173 rs: Final st: NotStopd id: RBC t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.82 n1: 2.82 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.9 n1: 13.9 rs: Final st: NotStopd
id: Art.pH t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 6.94 n1: 6.94 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -14 n1: -14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 6.94 n1: 6.94 rs: Final st: NotStopd
id: Lactic Acid t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [16:30:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd
id: PT t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 25.2 n1: 25.2 rs: Final st: NotStopd id: INR t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PTT t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 31.3 n1: 31.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 25.2 n1: 25.2 rs: Final st: NotStopd id: PTT(22-35) t0: [16:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 31.3 n1: 31.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Previous WeightF t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: Reason For Restraint t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Support Systems t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Red v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [16:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Fresh Frozen Plasma t0: [16:00:00 19/04/2014] el: 1 ai: 209 cg: RN cu: -1 vo: 303 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 cv: 1183 ac: 24 ap: none re: 0
id: Service Type t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 101.3 n1: 101.3 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [17:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 5 vu: ml
id: Fentanyl t0: [17:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16.6667 n1: 16.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 47 n1: 47 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 730 n1: 730 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 rs: Manual st: NotStopd
id: FiO2 Set t0: [17:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1 n1: 1 u1: torr st: NotStopd
id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: RN cu: -1 am: 60 du: mcgkgmin rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 19/04/2014] el: 0 cg: CoWkr cu: -1 v1: 143 n1: 143 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [18:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 63 n1: 63 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:15:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd
id: I:E Ratio t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:3 st: NotStopd id: Mean Airway Pressure t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 15.6 n1: 15.6 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 58 n1: 58 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 650 n1: 650 u1: ml/B st: NotStopd
id: INV Line#2 Type/Site t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd
id: Service Type t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: I:E Ratio-Calculated t0: [19:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: INV Line#2 Zero/Cal t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV#2 WaveformAppear t0: [18:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: PCV Insp Vt (Obser) t0: [19:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: PCV Set Insp. Press t0: [19:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: Arterial BP t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: TCPCV Insp. Pressure t0: [19:00:00 19/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: calprevflg t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [19:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Oral Care t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [19:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [19:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Compliance (40-60ml) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10.4651 n1: 10.4651 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 18.9 n1: 18.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 42 n1: 42 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 570 n1: 570 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [19:27:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Previous WeightF t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [20:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml id: Urine Out Foley t0: [20:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [20:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd
id: Riker-SAS Scale t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 19/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: Alarms t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Pain Location t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Respiratory Rate t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd
id: Art.pH t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd id: Lactic Acid t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:06:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: FiO2 Set t0: [20:28:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.8 n1: 0.8 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Height of Bed t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Pupil Response R/L t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: Reason For Restraint t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Restraint Location t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: Service Type t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Arterial BP t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Previous Weight t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [20:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [21:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [21:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Gastric Meds t0: [20:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 60 vu: ml id: Tube Feeding t0: [21:00:00 19/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11.25 vu: ml id: Urine Out Foley t0: [21:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [21:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 cv: 240 ac: 24 ap: none re: 0
id: BUN t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:40:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 138 n1: 138 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:30:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 15 vu: ml id: Lactated Ringers 1000.0ml t0: [22:30:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: Tube Feeding t0: [22:30:00 19/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 18.75 vu: ml id: Urine Out Foley t0: [22:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:30:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 12 vu: ml
id: Fentanyl t0: [22:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Arterial BP t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Previous Weight t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [21:30:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [21:30:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.97 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [22:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [23:00:00 19/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Tube Feeding t0: [23:00:00 19/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 6.25 vu: ml id: Urine Out Foley t0: [23:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 19/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [23:00:00 19/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 19/04/2014] el: 3 cg: RN cu: -1 pv: 40 cv: 40 ac: 24 ap: none re: 0
id: Respiratory Rate t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd
id: Compliance (40-60ml) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 12.5 n1: 12.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 41 n1: 41 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 521 n1: 521 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [23:35:00 19/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Art.pH t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:46:00 19/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.19 n1: 7.19 rs: Final st: NotStopd
id: Service Type t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 20/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Education Handout t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Height of Bed t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Position Change t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Pupil Response R/L t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Exp Wheeze st: NotStopd id: Reason For Restraint t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Restraint Location t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Fingerstick Glucose t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 147 n1: 147 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [00:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [00:00:00 20/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Service Type t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Arterial BP t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Previous Weight t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [00:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [00:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.375 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #1 Insert Date t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Arterial BP t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Lactated Ringers 1000.0ml t0: [01:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [01:00:00 20/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1.1875 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Respiratory Rate t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd
id: Respiratory Rate t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd
id: CVP t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd
id: Hematocrit t0: [00:59:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd
id: Lactated Ringers 1000.0ml t0: [01:31:00 20/04/2014] el: 1 ai: 107 cg: -1 cu: -1 vo: 0 st: D/C'd
id: Service Type t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Arterial BP t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:30:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:30:00 20/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Lactated Ringers 1000.0ml t0: [01:30:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml id: Tube Feeding t0: [01:30:00 20/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:30:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 6.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:30:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [01:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:30:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Arterial BP t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: EKG st: NotStopd id: Respiratory Rate t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:45:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:45:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:45:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:45:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: TF Residual t0: [00:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [02:00:00 20/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 6.25 vu: ml id: Urine Out Foley t0: [02:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Service Type t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Arterial BP t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:50:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:50:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:50:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:50:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.8125 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.8125 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [00:59:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:59:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.9 n1: 4.9 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Health Care Proxy t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/04/2014] el: 2 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 20/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Arterial BP t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [03:20:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:20:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:20:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.625 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:20:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.3125 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 20/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Suctioning st: NotStopd id: Eye Care t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [02:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0.3125 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 12.5 n1: 12.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: PEEP Set t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 41 n1: 41 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 523 n1: 523 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [03:45:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:15:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:15:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Art.pH t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: CVP t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Lactic Acid t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [05:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 96 n1: 96 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [05:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: WBC t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Hematocrit t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 28.1 n1: 28.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 100 n1: 100 rs: Final st: NotStopd id: RBC t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.32 n1: 2.32 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 5.6 n1: 5.6 rs: Final st: NotStopd
id: FiO2 Set t0: [05:57:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 20/04/2014] el: 0 cg: CoWork cu: -1 v1: 150 n1: 150 rs: Manual st: NotStopd
id: PT t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 32.3 n1: 32.3 rs: Final st: NotStopd id: INR t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: PTT t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 32.6 n1: 32.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 32.3 n1: 32.3 rs: Final st: NotStopd id: PTT(22-35) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 32.6 n1: 32.6 rs: Final st: NotStopd
id: BUN t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 152 n1: 152 rs: Final st: NotStopd id: Magnesium t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd id: Total Bili t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 31 n1: 31 rs: Final st: NotStopd id: Amylase t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 124 n1: 124 rs: Final st: NotStopd id: BUN (6-20) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 152 n1: 152 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Oral Care t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Care t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 19/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd
id: CPK/MB t0: [05:25:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 73 n1: 73 rs: Final st: NotStopd
id: IV Site Appear #2 t0: [08:00:00 20/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 20/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: IV #2 Reason DC'D t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Routine Change st: NotStopd id: Risk for Falls t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 D/C Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #2 Insert Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 16 vu: ml
id: Fentanyl t0: [07:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 12.8571 n1: 12.8571 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 1:2.5 st: NotStopd id: Inspired Gas Temp t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 39 n1: 39 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 653 n1: 653 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: Assist Control st: NotStopd id: Waveform-Vent t0: [08:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Arterial BP t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % st: NotStopd id: INV#1 Cap Change t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: calprevflg t0: [09:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 70 n1: 70 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:16:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [10:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 16 vu: ml
id: Fentanyl t0: [10:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [11:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 13.2353 n1: 13.2353 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 39 n1: 39 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 458 n1: 458 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 v1: RAMP st: NotStopd
id: MDI #2 (Puff/Drug) t0: [12:00:00 20/04/2014] el: 0 cg: RT cu: -1 st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 79 n1: 79 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:42:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [13:53:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd
id: PT t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 37.9 n1: 37.9 rs: Final st: NotStopd id: INR t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: PTT t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 36.2 n1: 36.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 37.9 n1: 37.9 rs: Final st: NotStopd id: PTT(22-35) t0: [13:57:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 36.2 n1: 36.2 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 14.5161 n1: 14.5161 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 55 n1: 55 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 19.3 n1: 19.3 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 42 n1: 42 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: IV Site Appear #1 t0: [16:00:00 20/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Less Restrict Meas. t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Routine Change st: NotStopd id: Risk for Falls t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Diet Type t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: IV #1 D/C Date t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: Tube Feeding t0: [16:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Zero/Cal t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV Site Appear #3 t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd
id: Service Type t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [17:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:58:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 157 n1: 157 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [18:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [19:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [19:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [19:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 13.2353 n1: 13.2353 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 18.7 n1: 18.7 u1: L/min st: NotStopd id: PEEP Set t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 39 n1: 39 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau-Off t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 39 n1: 39 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [19:35:00 20/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 20/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Education Response t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Height of Bed t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Position t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Pupil Response R/L t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Reason For Restraint t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Restraint Location t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Sputum Color/Consist t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Support Systems t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Bowel Sounds t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 20/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Tube Feeds In Total t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 830 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [21:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:52:00 20/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Stool Color/Consist t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Golden v2: Soft st: NotStopd
id: Stool Out Total t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 100 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 3400 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 cv: 3400 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Oral Care t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Behavior t0: [20:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 21/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioning st: NotStopd id: Eye Care t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Follows Commands t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Heart Rate t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Reason For Restraint t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 20/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 20/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 20/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 20/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 pv: 30.5 cv: 1894.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 pv: 30.5 cv: 2824.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 pv: 30.5 cv: -575.5 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 pv: 30.5 cv: 8252.67 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/04/2014] el: 3 cg: RN cu: -1 pv: 30.5 cv: 30.5 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 21/04/2014] el: 0 cg: NA cu: -1 v1: 151 n1: 151 rs: Manual st: NotStopd
id: HOB t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Position t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Skin Care t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Turn t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 14.0625 n1: 14.0625 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 19.1 n1: 19.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 543 n1: 543 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [00:22:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 20 cv: 485 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Arterial BP t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 58.5 cv: 1095.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 78.5 cv: 2480.25 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 2625 ac: 24 ap: none re: 0
id: Stool Out Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 60 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 18.5 cv: -164.75 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 18.5 cv: 8087.92 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 18.5 cv: 18.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 2645 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 21/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Reason For Restraint t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [03:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Sputum Color/Consist t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd
id: Compliance (40-60ml) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 15.5172 n1: 15.5172 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Inspired Gas Temp t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 17.2 n1: 17.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau-Off t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 469 n1: 469 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [04:01:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: HOB t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Position t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Radiologic Study t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Support Systems t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [01:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: Tube Feeding t0: [02:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: Tube Feeding t0: [03:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: Tube Feeding t0: [04:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 8 vu: ml
id: Art.pH t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:28:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: WBC t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Hematocrit t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 28.1 n1: 28.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 100 n1: 100 rs: Final st: NotStopd id: RBC t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.31 n1: 2.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: PT t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.8 n1: 29.8 rs: Final st: NotStopd id: INR t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: PTT t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 31.1 n1: 31.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.8 n1: 29.8 rs: Final st: NotStopd id: PTT(22-35) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 31.1 n1: 31.1 rs: Final st: NotStopd
id: CPK/MB t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd
id: BUN t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd id: Total Bili t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 32 n1: 32 rs: Final st: NotStopd id: Amylase t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 129 n1: 129 rs: Final st: NotStopd id: BUN (6-20) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:10:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [05:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 148 n1: 148 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: Tube Feeding t0: [06:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 16 vu: ml
id: Fentanyl t0: [05:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:05:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Agitated st: NotStopd id: Cough Reflex t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 16 vu: ml
id: Fentanyl t0: [08:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 18 n1: 18 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 556 n1: 556 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Education Barrier t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Education Readiness t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Follows Commands t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: HOB t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Poor st: NotStopd id: Oral Care t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: None/Remarks st: NotStopd id: Arterial BP t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Braden Activity t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:30:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [08:30:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:30:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:30:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4 vu: ml
id: Fentanyl t0: [08:30:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:45:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:45:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 cv: 20 ac: 24 ap: none re: 0
id: Service Type t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Agitated st: NotStopd id: Risk for Falls t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [09:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 4.5 vu: ml
id: Fentanyl t0: [09:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: GI Intub #1/Site t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Heart Rate t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Urine Source t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: calprevflg t0: [10:30:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:30:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 15 vu: ml id: Tube Feeding t0: [10:30:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:30:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:30:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 18 vu: ml
id: Fentanyl t0: [10:30:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: Tube Feeding t0: [11:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 6 vu: ml
id: Fentanyl t0: [10:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [09:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd
id: Art.pH t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:17:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: IV #4 Reason DC'D t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Infiltrated st: NotStopd id: Risk for Falls t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #3 Insert Date t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Infiltrated st: NotStopd id: Activity Tolerance t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Level of Conscious t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tachypneic st: NotStopd id: Side Rails t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 179 n1: 179 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 12 vu: ml
id: Fentanyl t0: [12:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 11.25 n1: 11.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.5 st: NotStopd id: Airway Size t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 17.8 n1: 17.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 795 n1: 795 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: IV #4 Reason DC'D t0: [12:01:00 21/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: IV #4 Insert Date t0: [12:01:00 21/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: IV #4 Site/Size t0: [12:01:00 21/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: IV Site Appear #4 t0: [12:01:00 21/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: -1 am: 25000 du: Uhr rt: IV Drip
id: Service Type t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
io: D5W 250.0ml + 25000Uhr Heparin el: 1 cg: RN cu: -1 ra: 7 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [13:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [13:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [13:30:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [13:30:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [13:30:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:30:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:30:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml
id: Heparin t0: [13:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 3.5 vu: ml id: Tube Feeding t0: [14:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 7.5 vu: ml
id: Fentanyl t0: [14:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 22.5 n1: 22.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 17.1 n1: 17.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 618 n1: 618 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [16:00:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: GI#1 Intub Site t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: None/Remarks st: NotStopd id: Arterial BP t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Soft st: NotStopd id: Stool Color/Consist t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [08:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Guaiac t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Support Systems t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 14 vu: ml id: Tube Feeding t0: [16:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 30 vu: ml
id: Fentanyl t0: [15:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 7 vu: ml id: Tube Feeding t0: [17:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [17:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 176 n1: 176 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 7 vu: ml id: Tube Feeding t0: [18:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [18:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:45:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:45:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 0 vu: ml nb: 1
id: Fentanyl t0: [18:45:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:45:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:45:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 19.5652 n1: 19.5652 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: PEEP Set t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Plateau-Off t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 524 n1: 524 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [19:50:00 21/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: PTT t0: [20:32:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 53.3 n1: 53.3 rs: Final st: NotStopd id: PTT(22-35) t0: [20:32:00 21/04/2014] el: 0 cg: 3161 cu: -1 v1: 53.3 n1: 53.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No Understanding st: NotStopd id: Education Topic #1 t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Education Topic #2 t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioning st: NotStopd id: Eye Care t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: Heart Rate t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: LLL Lung Sounds t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Urine Color/Appear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 21 vu: ml id: Tube Feeding t0: [20:30:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 45 vu: ml
id: Fentanyl t0: [21:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:30:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 7.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [22:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Activity t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Position t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd
id: Less Restrict Meas. t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [23:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 21/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 21/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 21/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [23:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 21/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 22/04/2014] el: 0 cg: CoWkr cu: -1 v1: 160 n1: 160 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 22/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: IV #3 Reason DC'D t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Routine Change st: NotStopd id: Risk for Falls t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Care t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: IV #3 Insert Date t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 21/04/2014] el: 0 cg: RN cu: -1 v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [00:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml st: Restart id: Tube Feeding t0: [23:00:00 21/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 0 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [00:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0 id: Tube Feeds In Total t0: [23:00:00 21/04/2014] el: 3 cg: RN cu: -1 pv: 0 cv: 900 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 22.5 n1: 22.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity Tolerance t0: [00:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Arterial BP t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [01:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [01:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [02:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [02:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #3 Reason DC'D t0: [03:00:00 22/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: IV Site Appear #3 t0: [03:00:00 22/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Less Restrict Meas. t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [02:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [03:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [03:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 49.5 cv: 1399 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 49.5 cv: 3169 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 150 cv: 150 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 0 cv: 1150 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 150 cv: 3970 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: -100.5 cv: -871 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: -100.5 cv: 7216.92 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: -100.5 cv: -100.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 pv: 150 cv: 4040 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:40:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 22/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [04:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [04:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #3 Insert Date t0: [04:01:00 22/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: IV #3 Site/Size t0: [04:01:00 22/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: HOB t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Position t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Skin Care t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: WBC (4-11,000) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: BUN t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 36 n1: 36 rs: Final st: NotStopd id: Chloride t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 156 n1: 156 rs: Final st: NotStopd id: Magnesium t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: WBC t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: BUN (6-20) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 36 n1: 36 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 156 n1: 156 rs: Final st: NotStopd id: Hematocrit t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 24.6 n1: 24.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.3 n1: 8.3 u1: gm/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Platelets t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 128 n1: 128 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: RBC t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.02 n1: 2.02 u1: /mic l rs: Final st: NotStopd id: Sodium (135-148) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: PT t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: INR t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:10:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.3 n1: 29.3 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 22.5 n1: 22.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 35.9 n1: 35.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 16.5 n1: 16.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 454 n1: 454 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [04:20:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [05:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [05:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [04:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Heart Rate t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [06:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [06:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [06:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 22/04/2014] el: 0 cg: CoWkr cu: -1 v1: 171 n1: 171 rs: Manual st: NotStopd
id: Radiologic Study t0: [03:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Chest Xray st: NotStopd
id: RSBI Not Completed t0: [06:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Hemodyn Instabil st: NotStopd
id: Midazolam io: .9% Normal Saline 100.0ml + 100mghr Midazolam el: 101 cg: RN cu: -1 am: 100 du: mghr rt: IV Drip
id: NBP Alarm (Lo/Hi) t0: [07:00:00 22/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Compliance (40-60ml) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20.4545 n1: 20.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 582 n1: 582 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [07:29:00 22/04/2014] el: 0 cg: MS cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 22/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: Heart Rate t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Daily Weight t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: Behavior t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: Tube Feeding t0: [08:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 30 vu: ml
id: Fentanyl t0: [08:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 cv: 250 ac: 24 ap: none re: 0
id: Stool Color/Consist t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [08:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd
id: Service Type t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 126 n1: 126 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 n1: 45 u1: mmHg st: NotStopd id: Back Care t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [09:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [09:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Position Change t0: [09:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: Service Type t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [10:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [10:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Position t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 n1: 45 u1: mmHg st: NotStopd
id: Service Type t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [11:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [11:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 19.5652 n1: 19.5652 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Source/Amt t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 501 n1: 501 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [11:11:00 22/04/2014] el: 0 cg: MS cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Education Handout t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Given st: NotStopd id: Education Learner t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Heart Rate t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [12:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [12:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products t0: [12:14:00 22/04/2014] el: 0 cg: 3161 cu: -1 v1: Y rs: Final st: NotStopd
id: Eye Care t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Activity t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 n1: 45 u1: mmHg st: NotStopd id: Back Care t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Fingerstick Glucose t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 191 n1: 191 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Packed RBC's t0: [13:00:00 22/04/2014] el: 1 ai: 155 cg: RN cu: -1 vu: ml uu: Units nb: 1 id: Tube Feeding t0: [13:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [13:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:15:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:15:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:15:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:15:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [12:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Temp. Site t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [14:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [14:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Arterial BP t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Skin Care t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 45 n1: 45 u1: mmHg st: NotStopd id: Back Care t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [15:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [15:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [15:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Respiratory Rate t0: [13:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd
id: Compliance (40-60ml) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 18.75 n1: 18.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 535 n1: 535 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [15:36:00 22/04/2014] el: 0 cg: MS cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 22/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Alarms t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Education Handout t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Given st: NotStopd id: Education Learner t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Family Communication t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: Heart Rate t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [16:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [16:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Packed RBC's t0: [16:00:00 22/04/2014] el: 1 ai: 155 cg: RN cu: -1 vo: 370 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 22/04/2014] el: 3 cg: RN cu: -1 cv: 370 ac: 24 ap: none re: 0
id: Service Type t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [17:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [17:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Arterial BP t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Golden v2: Loose st: NotStopd id: Stool Guaiac t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: INV#1 Cap Change t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [18:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [18:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 156 n1: 156 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau-Off t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 529 n1: 529 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [19:39:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 22/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 25cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Alarms t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Airway Size t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Stool Management t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: HOB Measurement t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: Ventilator Type t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [19:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [19:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: Tube Feeding t0: [20:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [19:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [21:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [21:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 230 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 23 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 13 vu: ml
id: Heparin t0: [22:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl t0: [22:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Tube Feeding t0: [22:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml st: Stopped id: tubefeed residual t0: [22:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 70 vu: ml
id: Less Restrict Meas. t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Heart Rate t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: calprevflg t0: [23:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 22/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 22/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [23:00:00 22/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 22/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 22/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [23:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 22/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 23.6842 n1: 23.6842 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 17.5 n1: 17.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau-Off t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 527 n1: 527 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 22/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 23/04/2014] el: 0 cg: CoWker cu: -1 v1: 142 n1: 142 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 23/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: Gag Reflex t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position t0: [22:00:00 22/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Management t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [00:00:00 23/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 23/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [00:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [01:00:00 23/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 23/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 23/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [01:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: Tube Feeding t0: [02:00:00 23/04/2014] el: 1 ai: 304 cg: RN cu: -1 vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/04/2014] el: 1 ai: 153 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 23/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [02:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 53.5 cv: 1281 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 103.5 cv: 3851 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 4655 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 103.5 cv: -854 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 103.5 cv: 6362.92 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 pv: 103.5 cv: 103.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 4705 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [03:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:46:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: WBC t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Hematocrit t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 25.7 n1: 25.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 150 n1: 150 rs: Final st: NotStopd id: RBC t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.2 n1: 2.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.9 st: NotStopd id: Airway Size t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau-Off t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 455 n1: 455 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [03:52:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: PT t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 27.1 n1: 27.1 rs: Final st: NotStopd id: INR t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: PTT t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 80.9 n1: 80.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 27.1 n1: 27.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 80.9 n1: 80.9 rs: Final st: NotStopd
id: BUN t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 33 n1: 33 rs: Final st: NotStopd id: Creatinine t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 33 n1: 33 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 150 n1: 150 rs: Final st: NotStopd
id: Chloride t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 120 n1: 120 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:20:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 120 n1: 120 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 23/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: HOB t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Management t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [02:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [04:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [05:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 23/04/2014] el: 0 cg: CoWker cu: -1 v1: 138 n1: 138 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 41 n1: 41 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [06:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 45 n1: 45 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [07:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Given st: NotStopd id: Education Learner t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: Previous Weight t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 64.6 n1: 64.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Weight Change t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: -2.6 n1: -2.6 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Behavior t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [08:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Pressure Support t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 525 n1: 525 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 9 vu: ml
id: Fentanyl t0: [09:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Skin Care t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [10:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd
id: Service Type t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 11 vu: ml
id: Fentanyl t0: [11:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:15:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:15:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:15:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:15:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products t0: [11:41:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: Y rs: Final st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 23/04/2014] el: 0 cg: Cowork cu: -1 v1: 151 n1: 151 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Position Change t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 40 n1: 40 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Positive st: NotStopd id: Stool Management t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 21.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 12.5 vu: ml
id: Fentanyl t0: [12:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [12:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: Service Type t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Type t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau-Off t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Pressure Support t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [12:35:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: calprevflg t0: [13:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [13:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [13:30:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:30:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [14:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Education Handout t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Given st: NotStopd id: Education Learner t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Patient/Family st: NotStopd id: Education Method t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Response t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Family Communication t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: HOB t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Reason For Restraint t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Support Systems t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: Behavior t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd
id: Service Type t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [15:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [16:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 370 ac: 24 ap: none re: 0
id: Lactic Acid t0: [16:38:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [16:38:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: Eye Care t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: FiO2 Set t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: High Insp. Pressure t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Activity t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Airway Size t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: Oral Care t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Position t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Pressure Support t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Skin Care t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Tidal Volume (Obser) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Turn t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: Ventilator Mode t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Back Care t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Waveform-Vent t0: [16:45:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [17:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: Airway Size t0: [17:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Ventilator Type t0: [17:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [14:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [16:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: HOB Measurement t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 161 n1: 161 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [18:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 50 ac: 24 ap: none re: 0
id: Hematocrit t0: [17:52:00 23/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [19:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 23/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 23/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [20:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [20:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [22:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [22:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 23/04/2014] el: 3 cg: RN cu: -1 cv: 1000 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 24/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Family Communication t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 23/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 23/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 23/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 23/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [00:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 23/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 24/04/2014] el: 0 cg: CoWkr cu: -1 v1: 142 n1: 142 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 532 n1: 532 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Art.pH t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Lactic Acid t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:50:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [01:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [01:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 46.5 cv: 1222 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 96.5 cv: 4042 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 cv: 4850 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 96.5 cv: -808 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 96.5 cv: 5554.92 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 pv: 96.5 cv: 96.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 cv: 4850 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [03:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 8.82353 n1: 8.82353 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 8.82353 n1: 8.82353 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1.5 n1: 1.5 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 9 n1: 9 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1.02 n1: 1.02 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 532 n1: 532 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 24/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Level of Conscious t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Stool Color/Consist t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [04:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [05:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:12:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Service Type t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 136 n1: 136 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [06:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Total Bili t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: ALT t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 13 n1: 13 rs: Final st: NotStopd id: BUN (6-20) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: WBC t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: Hematocrit t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 162 n1: 162 rs: Final st: NotStopd id: RBC t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.61 n1: 2.61 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.8 n1: 7.8 rs: Final st: NotStopd
id: PT t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: INR t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 59.2 n1: 59.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: PTT(22-35) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 59.2 n1: 59.2 rs: Final st: NotStopd
id: Sodium t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:13:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 149 n1: 149 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 16.6 n1: 16.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Pressure Support t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Sputum Source/Amt t0: [08:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 24/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position Change t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: Previous Weight t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 44 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 26 vu: ml
id: Fentanyl t0: [07:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [09:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Fentanyl t0: [10:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 220 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 13 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 13 vu: ml
id: Heparin t0: [11:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Range of Motion t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Circulation/SkinInt t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: HOB t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position Change t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Reason For Restraint t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Restraint Location t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Therapeutic Bed t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd
id: RSBI (<100) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10.7843 n1: 10.7843 u1: units st: NotStopd id: ETT Mark/Location t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 3.5 n1: 3.5 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Not Applicable st: NotStopd id: Pressure Support t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10.7843 n1: 10.7843 u1: units st: NotStopd id: Resp Rate (Total) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1.02 n1: 1.02 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1120 n1: 1120 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Art.pH t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:36:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Range of Motion t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 24/04/2014] el: 1 cg: RN cu: -1 v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 142 n1: 142 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Precautions t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Temp. Site t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml
id: Heparin t0: [12:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 23.6842 n1: 23.6842 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 43 n1: 43 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 595 n1: 595 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [12:04:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Fentanyl t0: [11:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [12:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [12:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [13:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [14:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Health Care Proxy t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [15:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sodium t0: [14:41:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:41:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 146 n1: 146 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: Activity t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Size t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Airway Type t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Intubation Date t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Yes st: NotStopd id: Pressure Support t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Ventilator Type t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [16:32:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:18:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 24/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves st: NotStopd id: Arterial BP t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [20:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [20:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 971 n1: 971 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:10:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 24/04/2014] el: 3 cg: RN cu: -1 cv: 1620 ac: 24 ap: none re: 0
id: Art.pH t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 71 n1: 71 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:47:00 24/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Type t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [22:13:00 24/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [22:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 24/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 24/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 24/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 24/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 24/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Neg Insp Force(>-25) t0: [00:00:00 25/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: Plateau-Off t0: [00:00:00 25/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: Vital Cap (>1.0)L t0: [00:00:00 25/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: Pain Present t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 25/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 559 n1: 559 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [01:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:00:00 25/04/2014] el: 0 cg: CoWkr cu: -1 v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [02:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 1058.9 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 3758.9 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 1600 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 1100 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 4540 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: -781.1 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 4773.82 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/04/2014] el: 3 cg: RN cu: -1 cv: 4540 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [03:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 25/04/2014] el: 1 cg: RN cu: -1 v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Family Communication t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [04:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13.4021 n1: 13.4021 u1: units st: NotStopd id: FiO2 Set t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13.4021 n1: 13.4021 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.97 n1: 0.97 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.874 n1: 0.874 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:30:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Art.pH t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: WBC t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: Hematocrit t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 192 n1: 192 rs: Final st: NotStopd id: RBC t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.82 n1: 2.82 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.8 n1: 13.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: ETT Position Change t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Done st: NotStopd id: Airway Size t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Color/Consist t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd
id: Compliance (40-60ml) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 471 n1: 471 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [06:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: BUN t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: BUN (6-20) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 19 n1: 19 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.7 n1: 4.7 rs: Final st: NotStopd
id: Chloride t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 117 n1: 117 rs: Final st: NotStopd id: Sodium t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 144 n1: 144 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 117 n1: 117 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:10:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 144 n1: 144 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 25/04/2014] el: 0 cg: CoWkr cu: -1 v1: 158 n1: 158 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 62 n1: 62 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [06:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 36 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 20 vu: ml
id: Fentanyl t0: [07:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.1 st: NotStopd id: Airway Size t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: LLL Lung Sounds t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Rhonchi st: NotStopd id: Low Exhaled Min Vol t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: RLL Lung Sounds t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Rhonchi st: NotStopd id: Resp Rate (Spont) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Pattern t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Discoordinate st: NotStopd id: Respiratory Rate Set t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: cmH2O st: NotStopd id: SpO2 t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: White v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:36:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 130 n1: 130 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [09:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 1 vu: ml
id: Fentanyl t0: [10:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 25/04/2014] el: 0 cg: CoWork cu: -1 v1: 147 n1: 147 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 36 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 20 vu: ml
id: Fentanyl t0: [11:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.1 st: NotStopd id: Airway Size t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37.7 n1: 37.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 1 vu: ml
id: Fentanyl t0: [13:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Education Handout t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Method t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 18 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml
id: Midazolam t0: [10:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 126 n1: 126 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [17:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Care t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Care t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Back Care t0: [17:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.1 st: NotStopd id: Airway Size t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 15.3 n1: 15.3 u1: L/min st: NotStopd id: PEEP Set t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:35:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Fingerstick Glucose t0: [18:00:00 25/04/2014] el: 0 cg: Cowork cu: -1 v1: 141 n1: 141 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 133 n1: 133 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [18:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [18:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 162 n1: 162 rs: Final st: NotStopd id: Magnesium t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 162 n1: 162 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:04:00 25/04/2014] el: 0 cg: 3161 cu: -1 v1: 143 n1: 143 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 64.2857 n1: 64.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 696 n1: 696 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 28.8 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 16 vu: ml
id: Fentanyl t0: [19:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [21:00:00 25/04/2014] el: 1 cg: RN cu: -1 v1: Yes st: NotStopd id: GI Prophylaxis t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Education Barrier t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: Education Readiness t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 137 n1: 137 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Rate t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Problem st: NotStopd id: Braden Mobility t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 90 n1: 90 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 649 n1: 649 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 25/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 25/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 25/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 25/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 15.3 n1: 15.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 624 n1: 624 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 25/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 25/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 26/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 28.8 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 26/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 16 vu: ml
id: Service Type t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 26/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 25.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 43.2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 26/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 24 vu: ml
id: Fentanyl t0: [01:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [01:00:00 26/04/2014] el: 1 cg: RN cu: -1 v1: Yes st: NotStopd id: GI Prophylaxis t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Education Barrier t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Education Response t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Family Communication t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 st: NotStopd id: Follows Commands t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Height of Bed t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Arouse to Voice st: NotStopd id: Motor Response t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Position t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: Pupil Response R/L t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Side Rails t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Stool Color/Consist t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Bowel Sounds t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 cv: 2300 ac: 24 ap: none re: 0
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 26/04/2014] el: 1 ai: 117 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 26/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 8 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 55 cv: 1245.47 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 4895.47 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1350 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 40 cv: 4015 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 65 cv: 880.467 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 65 cv: 5654.29 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 65 cv: 65 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/04/2014] el: 3 cg: RN cu: -1 pv: 40 cv: 4015 ac: 24 ap: none re: 0
id: Art.pH t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Lactic Acid t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 101 n1: 101 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [02:57:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.9 n1: 0.9 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 17 n1: 17 rs: Final st: NotStopd id: WBC t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 17 n1: 17 rs: Final st: NotStopd id: Hematocrit t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 36.1 n1: 36.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 214 n1: 214 rs: Final st: NotStopd id: RBC t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.13 n1: 3.13 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 17 n1: 17 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 135 n1: 135 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: PT t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: Calcium t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 136 n1: 136 rs: Final st: NotStopd id: INR t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Magnesium t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 44.9 n1: 44.9 rs: Final st: NotStopd id: Phosphorous t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 136 n1: 136 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: PTT(22-35) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 44.9 n1: 44.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 145 n1: 145 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 599 n1: 599 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Support Systems t0: [01:00:00 26/04/2014] el: 0 cg: RN cu: -1 st: NotStopd id: Support Systems t0: [21:00:00 25/04/2014] el: 0 cg: RN cu: -1 st: NotStopd
id: Pain Present t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 26/04/2014] el: 1 cg: RN cu: -1 v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 138 n1: 138 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Stool Color/Consist t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Heparin t0: [04:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 28.2051 n1: 28.2051 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 17 n1: 17 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 28.2051 n1: 28.2051 u1: units st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.78 n1: 0.78 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 624 n1: 624 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 26/04/2014] el: 0 cg: CoWkr cu: -1 v1: 155 n1: 155 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.1 st: NotStopd id: Airway Size t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 643 n1: 643 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Dampened st: NotStopd id: Activity t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 133 n1: 133 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Stool Color/Consist t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 43.2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 24 vu: ml
id: Fentanyl t0: [08:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 165 n1: 165 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:30:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:30:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 134 n1: 134 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 140 n1: 140 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 141 n1: 141 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: INR t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 63.4 n1: 63.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: PTT(22-35) t0: [10:07:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 63.4 n1: 63.4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:2.1 st: NotStopd id: Airway Size t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 499 n1: 499 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Art.pH t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd
id: Lactic Acid t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1 n1: 1 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:17:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1 n1: 1 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: Heart Rate t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:30:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 144 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Radiologic Study t0: [11:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Chest Xray st: NotStopd
id: Service Type t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Activity t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Poor st: NotStopd id: Oral Care t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Arterial BP t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 149 n1: 149 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: INV#1 Cap Change t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: calprevflg t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 14.4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Respiratory Rate Set t0: [13:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [13:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd
id: Service Type t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 149 n1: 149 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 46 n1: 46 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [14:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [14:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: EKG st: NotStopd
id: Art.pH t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Sodium t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 145 n1: 145 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:11:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 145 n1: 145 rs: Final st: NotStopd
id: Service Type t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 134 n1: 134 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:20:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:20:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:20:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:20:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:25:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:25:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:25:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:25:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PEEP Set t0: [14:30:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [14:30:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 550 n1: 550 u1: ml/B st: NotStopd
id: Service Type t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Poor st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 135 n1: 135 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [15:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 38.3333 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 28.3333 vu: ml
id: Fentanyl t0: [15:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Differential-Bands t0: [02:44:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd
id: Art.pH t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:58:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 18.3333 n1: 18.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 21.1 n1: 21.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 42 n1: 42 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 592 n1: 592 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [17:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 150 n1: 150 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [18:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Lactic Acid t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [18:23:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: PTT t0: [17:56:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 60.1 n1: 60.1 rs: Final st: NotStopd id: PTT(22-35) t0: [17:56:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 60.1 n1: 60.1 rs: Final st: NotStopd
id: ETT Mark/Location t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 22.8 n1: 22.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: SQUARE st: NotStopd
id: Service Type t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 128 n1: 128 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: calprevflg t0: [19:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 30 vu: ml
id: Fentanyl t0: [19:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 26/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Education Barrier t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Patient/Family st: NotStopd id: Education Method t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Response t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Eye Care t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Family Communication t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fam Talked to RN st: NotStopd id: Follows Commands t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: HOB t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Height of Bed t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: Pupil Response R/L t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Skin Care t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Stool Color/Consist t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Behavior t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Service Type t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: calprevflg t0: [21:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 151 n1: 151 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:12:00 26/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [22:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 26/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 26/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 26/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 26/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [23:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 26/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 22.1 n1: 22.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Ve High t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 617 n1: 617 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: SQUARE st: NotStopd
id: Service Type t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 27/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Education Barrier t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Heart Rate t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Support Systems t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Turn t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [01:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [01:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 cv: 1720 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [02:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [03:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Lactic Acid t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:37:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.2 n1: 1.2 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: WBC t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: Hematocrit t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 34.3 n1: 34.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 185 n1: 185 rs: Final st: NotStopd id: RBC t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.97 n1: 2.97 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 15.8 n1: 15.8 rs: Final st: NotStopd
id: BUN t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 37 n1: 37 rs: Final st: NotStopd id: Creatinine t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 151 n1: 151 rs: Final st: NotStopd id: BUN (6-20) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 37 n1: 37 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 17 n1: 17 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 151 n1: 151 rs: Final st: NotStopd
id: PT t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: INR t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 71.5 n1: 71.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 21 n1: 21 rs: Final st: NotStopd id: PTT(22-35) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 71.5 n1: 71.5 rs: Final st: NotStopd
id: Chloride t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Potassium t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 143 n1: 143 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:11:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 143 n1: 143 rs: Final st: NotStopd
id: ETT Mark/Location t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 22.3 n1: 22.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 26/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd id: TCPCV Fixed I Time t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: SQUARE st: NotStopd
id: RSBI Not Completed t0: [04:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: PEEP >10 st: NotStopd
id: Pain Present t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 27/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red, Unbroken st: NotStopd id: PressSore Drng/Amt#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: PressSoreCleansing#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: PressSoreWoundBase#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Rate t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Stool Color/Consist t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: In-Line Sx Change t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [04:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 165 n1: 165 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [06:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [07:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red, Unbroken st: NotStopd id: PressSore Drng/Amt#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: PressSoreCleansing#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: PressSoreWoundBase#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Source t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [08:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT Splint Loc/Stat#1 t0: [08:00:00 27/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd id: PT Splint Loc/Stat#2 t0: [08:00:00 27/04/2014] el: 0 cg: -1 cu: -1 st: D/C'd
id: ETT Mark/Location t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 22.8 n1: 22.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 633 n1: 633 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: RAMP st: NotStopd
id: Service Type t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Arterial BP t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: In-Line Sx Change t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: calprevflg t0: [08:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Risk for Falls t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:30:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:30:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:30:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:30:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 22.5 vu: ml
id: Fentanyl t0: [09:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:30:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 7.5 vu: ml
id: Fentanyl t0: [10:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [11:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd id: Lactic Acid t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 127 n1: 127 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [11:13:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Risk for Falls t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: Activity t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Level of Conscious t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Orientation t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Urine Source t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [12:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 152 n1: 152 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [12:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 22.6 n1: 22.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 621 n1: 621 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [12:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [13:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [14:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [15:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:14:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.25 n1: 7.25 rs: Final st: NotStopd
id: ETT Mark/Location t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 23.4 n1: 23.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: None st: NotStopd id: TCPCV Fixed I Time t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 634 n1: 634 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [16:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Absent st: NotStopd id: HOB t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red, Unbroken st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Stool Color/Consist t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [16:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 36 n1: 36 rs: Final st: NotStopd id: Chloride t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 150 n1: 150 rs: Final st: NotStopd id: Potassium t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 36 n1: 36 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 150 n1: 150 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:03:00 27/04/2014] el: 0 cg: 3161 cu: -1 v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [17:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Very Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 162 n1: 162 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [18:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 cv: 100 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Time t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 674 n1: 674 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Pain Present t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 27/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [19:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [19:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [21:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [22:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 27/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 27/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 27/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 27/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [23:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 27/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 55 cv: 1370 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 4290 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 45 cv: 2195 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 1995 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 7649.29 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 60 cv: 60 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/04/2014] el: 3 cg: RN cu: -1 pv: 45 cv: 2295 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 23.7 n1: 23.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Pressure t0: [20:00:00 27/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 670 n1: 670 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [00:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Pain Present t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Learner t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Stool Color/Consist t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 101.5 n1: 101.5 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 cv: 1080 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 28/04/2014] el: 0 cg: CoWkr cu: -1 v1: 143 n1: 143 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:02:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Altered LOC st: NotStopd id: Education Learner t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Readiness t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: Gag Reflex t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: In-Line Sx Change t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: WBC t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: Hematocrit t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 31.4 n1: 31.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 153 n1: 153 rs: Final st: NotStopd id: RBC t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.73 n1: 2.73 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 12.8 n1: 12.8 rs: Final st: NotStopd
id: ETT Mark/Location t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 14 n1: 14 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 23.7 n1: 23.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 635 n1: 635 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: RSBI Not Completed t0: [04:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: PEEP >10 st: NotStopd
id: Chloride t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 165 n1: 165 rs: Final st: NotStopd id: Potassium t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 142 n1: 142 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 165 n1: 165 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 142 n1: 142 rs: Final st: NotStopd
id: BUN t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 40 n1: 40 rs: Final st: NotStopd id: BUN (6-20) t0: [03:55:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 40 n1: 40 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 150 n1: 150 rs: Manual st: NotStopd
id: Fentanyl t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Service Type t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Learner t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: Airway Size t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 23.9 n1: 23.9 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 663 n1: 663 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [07:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd
id: ETT Mark/Location t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: Airway Size t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37.9 n1: 37.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 24.3 n1: 24.3 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Plateau Pressure t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 684 n1: 684 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [11:30:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 28/04/2014] el: 0 cg: CoWker cu: -1 v1: 159 n1: 159 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: Risk for Falls t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Family Communication t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Heart Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Arterial BP t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: calprevflg t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd
id: Fentanyl t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Free Water Bolus t0: [12:00:00 28/04/2014] el: 1 ai: 274 cg: RN cu: -1 vo: 250 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Service Type t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Family Communication t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 111 n1: 111 u1: BPM st: NotStopd id: Height of Bed t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: Activity t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: Risk for Falls t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml
id: Fentanyl t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 48 n1: 48 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: Airway Size t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 23.2 n1: 23.2 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Plateau Pressure t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1.0:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 659 n1: 659 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [14:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Pain Present t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: MICU st: NotStopd id: Service Type t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: MICU st: NotStopd id: CVP t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 28/04/2014] el: 1 cg: RNs cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 2 To pain st: NotStopd id: Family Communication t0: [15:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Impaired st: NotStopd id: HOB t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sharp st: NotStopd id: Activity t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 129 n1: 129 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Universal st: NotStopd id: Precautions t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Blood Cultured st: NotStopd id: Pupil Response R/L t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: None st: NotStopd id: Side Rails t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Oral st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Done st: NotStopd id: calprevflg t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RNs cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 28/04/2014] el: 1 ai: 107 cg: RNs cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 28/04/2014] el: 1 ai: 107 cg: RNs cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 28/04/2014] el: 1 ai: 416 cg: RNs cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 28/04/2014] el: 1 ai: 416 cg: RNs cu: -1 vo: 20 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 28/04/2014] el: 1 ai: 109 cg: RNs cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 28/04/2014] el: 1 ai: 109 cg: RNs cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [16:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 28/04/2014] el: 1 cg: RNs cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 cv: 150 ac: 24 ap: none re: 0
id: Service Type t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 101.4 n1: 101.4 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 140 n1: 140 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:04:00 28/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 153 n1: 153 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 22.7 n1: 22.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: None st: NotStopd id: TCPCV Fixed I Time t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: 613 n1: 613 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [20:00:00 28/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Pain Present t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38 n1: 38 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Stool Color/Consist t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Free Water Bolus t0: [20:00:00 28/04/2014] el: 1 ai: 274 cg: RN cu: -1 vu: ml
id: Service Type t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Back Care t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 cv: 2675 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 cv: 2825 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 29/04/2014] el: 0 cg: CoWker cu: -1 v1: 128 n1: 128 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Low Cont Suction v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Behavior t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 29/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 28/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 29/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 28/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 55 cv: 1520 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 3700 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1100 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 875 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 8524.29 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/04/2014] el: 3 cg: RN cu: -1 pv: 105 cv: 105 ac: 1 ap: none re: 0
id: Free Water Bolus t0: [00:00:00 29/04/2014] el: 1 ai: 274 cg: RN cu: -1 vo: 250 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 cv: 1220 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: Oral Care t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Back Care t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 29/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 29/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 29/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 29/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [01:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 29/04/2014] el: 1 ai: 416 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 29/04/2014] el: 1 ai: 109 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [03:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 47 cv: 1524.88 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 97 cv: 3944.88 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 320 cv: 320 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 50 cv: 1200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 320 cv: 2234 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: -223 cv: 1360.88 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: -223 cv: 9885.16 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: -223 cv: -223 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 pv: 320 cv: 2584 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Low Cont Suction v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Verbal Response t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 124 n1: 124 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:34:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [05:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: WBC t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: Hematocrit t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 30.8 n1: 30.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 148 n1: 148 rs: Final st: NotStopd id: RBC t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.66 n1: 2.66 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 16.1 n1: 16.1 rs: Final st: NotStopd
id: PT t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 30.7 n1: 30.7 rs: Final st: NotStopd id: INR t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 30.7 n1: 30.7 rs: Final st: NotStopd
id: RSBI Not Completed t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: PEEP >10 st: NotStopd id: RSBI Not Completed t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: High Resp. Rate t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Size t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Airway Type t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Intubation Date t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 24.2 n1: 24.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: PEEP Set t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Apnea Time Interval t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank A psi. t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Ve High t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV Fixed I Time t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV I:E Ratio t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Pressure t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: TCPCV Insp. Time t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 635 n1: 635 u1: ml/B st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 656 n1: 656 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Mode t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [00:11:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd id: Ventilator Type t0: [05:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: BUN t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 144 n1: 144 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 29/04/2014] el: 0 cg: CoWker cu: -1 v1: 151 n1: 151 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 103 n1: 103 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Back Care t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 15 vu: ml
id: Fentanyl t0: [06:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 55 n2: 55 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 24 n1: 24 u1: L/min st: NotStopd id: O2 Flow (lpm) #2 t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: lpm st: NotStopd id: PEEP Set t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1.:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 673 n1: 673 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [07:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Temp. Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 40.2222 n1: 40.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 104.4 n1: 104.4 u1: Deg. F st: NotStopd
id: Pain Present t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Follows Commands t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: HOB t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: NBP t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 10 vu: ml
id: Fentanyl t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Eye Opening t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: Gag Reflex t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Motor Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Pupil Response R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 mm v2: 4 mm st: NotStopd id: Sputum Color/Consist t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Scant st: NotStopd
id: Service Type t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 99 n1: 99 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 39.7778 n1: 39.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 103.6 n1: 103.6 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 5 vu: ml
id: Fentanyl t0: [09:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Midazolam t0: [09:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CoolingDevice/Status t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd
id: Support Systems t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd
id: Art.pH t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: CaO2 t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 13.9011 n1: 13.9011 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: SaO2 t0: [09:22:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 39.8333 n1: 39.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 103.7 n1: 103.7 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [10:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Guaiac t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd
id: CoolingDevice/Status t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:15:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 2.5 vu: ml st: Stopped
id: Heparin t0: [10:15:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 39.6667 n1: 39.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 103.4 n1: 103.4 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 24.2 n1: 24.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 698 n1: 698 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [12:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:45:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:45:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 0 vu: ml st: Restart
id: Fentanyl t0: [11:45:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:45:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:45:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 29/04/2014] el: 0 cg: Cowork cu: -1 v1: 174 n1: 174 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Level of Conscious t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 56 n1: 56 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Stool Color/Consist t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 1.875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: CoolingDevice/Status t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd id: CoolingDevice/Status t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd id: HOB t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Oral Care t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Skin Care t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Back Care t0: [12:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: Service Type t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [13:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.7778 n1: 38.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101.8 n1: 101.8 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [14:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:20:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: ETT Position Change t0: [14:20:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Done st: NotStopd id: FiO2 Set t0: [14:20:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [14:20:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:20:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd
id: Service Type t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: CoolingDevice/Status t0: [13:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd id: CoolingDevice/Status t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: On st: NotStopd id: CoolingDevice/Status t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Cooling Blanket v2: Off st: NotStopd id: Risk for Falls t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: HOB t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Activity t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Suctioned v2: Small st: NotStopd
id: Pain Present t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: -1 v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Family Communication t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 22.7 n1: 22.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1.:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 644 n1: 644 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [16:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 86 n1: 86 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 176 n1: 176 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101.4 n1: 101.4 u1: Deg. F st: NotStopd
id: Stool Out Total t0: [23:00:00 29/04/2014] el: 3 cg: RN cu: -1 cv: 350 ac: 24 ap: none re: 0
id: RSBI Not Completed t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: Airway Size t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 21.7 n1: 21.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 36 n1: 36 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 26 n1: 26 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Suctioned v2: Small st: NotStopd id: TCPCV Fixed I Time t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 1:1.8 st: NotStopd id: TCPCV Insp. Pressure t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 38 n1: 38 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: 618 n1: 618 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Pressure Control st: NotStopd id: Ventilator Type t0: [20:00:00 29/04/2014] el: 0 cg: RRT cu: -1 v1: Drager st: NotStopd
id: Morphine Sulfate io: D5W 100.0ml + 100mghr Morphine Sulfate el: 100 cg: RN cu: -1 am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Morphine Sulfate el: 1 cg: RN cu: -1 ra: 10 ru: ml/hr
id: Service Type t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Education Barrier t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Education Handout t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Family Communication t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Family Called st: NotStopd id: Follows Commands t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 91 n1: 91 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [19:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [21:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 108 n1: 108 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 83 n1: 83 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [21:00:00 29/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [22:00:00 29/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Risk for Falls t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Care t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GU Cath Insert Date t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: HOB t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 94 n1: 94 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 53 n1: 53 u1: mmHg st: NotStopd id: Position t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Position t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Care t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: % st: NotStopd id: SpO2 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 84 n1: 84 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: INV#1 Cap Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Turn t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Back Care t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Back Care t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [00:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [23:00:00 29/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 29/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [23:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [01:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [01:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [01:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 29/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 475 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 975 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 500 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 1910 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: -935 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 8950.16 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/04/2014] el: 3 cg: RN cu: -1 cv: 1910 ac: 24 ap: none re: 0
id: Albumin t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Total Bili t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: ALT t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 29 n1: 29 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Amylase t0: [04:13:00 29/04/2014] el: 0 cg: 3161 cu: -1 v1: 360 n1: 360 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 159 n1: 159 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [02:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [03:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [02:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [02:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Health Care Proxy t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: HOB t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: HOB t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Position t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Care t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 72 n1: 72 u1: % st: NotStopd id: SpO2 t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 68 n1: 68 u1: % st: NotStopd id: SpO2 t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 70 n1: 70 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 38.9444 n1: 38.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 102.1 n1: 102.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Turn t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Back Care t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Back Care t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [04:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [05:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [04:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Cough Reflex t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Risk for Falls t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Eye Opening t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GCS Total t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Heart Rate t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: Arterial BP t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Fecal Incont Bag st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Verbal Response t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: calprevflg t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [06:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Midazolam t0: [06:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 67 n1: 67 u1: % st: NotStopd id: calprevflg t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [07:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [06:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Morphine Sulfate t0: [06:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [07:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 20 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Risk for Falls t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: GU Catheter Size t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 18 French st: NotStopd id: Gag Reflex t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: HOB t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 29 n2: 29 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Care t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 87 n1: 87 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 65 n1: 65 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Diaper st: NotStopd id: Support Systems t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 5 n1: 5 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Present st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [08:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: -1 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Fentanyl t0: [08:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [08:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [08:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 25 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd
id: Service Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 43 n1: 43 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 77 n1: 77 u1: % st: NotStopd id: calprevflg t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [09:00:00 30/04/2014] el: 1 ai: 168 cg: RN cu: -1 vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 30/04/2014] el: 1 ai: 216 cg: RN cu: -1 vo: 7 vu: ml
id: Midazolam t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 25 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Health Care Proxy t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Info Provided st: NotStopd id: Precautions t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 150 n2: 150 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:15:00 30/04/2014] el: 0 cg: RN cu: -1 v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Midazolam t0: [09:15:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Morphine Sulfate t0: [09:15:00 30/04/2014] el: 1 cg: RN cu: -1 vo: 0 do: 25 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped